NPIMap

Organization Active NPI

Catalyst Mental Health, GBC

Doing business as Catalyst Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Dora, FL
National Provider Identifier
1639911167
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CATALYST MENTAL HEALTH, GBC
Doing business as
Catalyst Mental Health, Inc
Practice address
106 E 5TH Ave Ste 208
Mount Dora, FL 32757-5538
Phone
(800) 336-5973
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Naomi Kuster
Title
Credentialing
Phone
(701) 336-5973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

106 E 5TH Ave Ste 208
Mount Dora, FL 32757-5538

Mailing address

1915 Lyndale Ave S
Minneapolis, MN 55403-3104
Phone (800) 336-5973

Other names 1

  • Catalyst Mental Health, Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@catalystmentalhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240522003062 FL Part B Supplier - Clinic/Group Practice 1355500752 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Mount Dora, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1502 London Rd
Ste 205
Duluth, MN 55812
Phone 8003365973 ext. 1

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1639911167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033104",
            "telephone_number": "800-336-5973",
            "fax_number": "612-234-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 5TH AVE STE 208",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575538",
            "telephone_number": "800-336-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST MENTAL HEALTH, GBC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "KUSTER",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "701-336-5973"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@catalystmentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "Catalyst Secure Email",
            "address_1": "1915 Lyndale Ave S",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554033104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Catalyst Mental Health, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.