Gulfside Behavioral Care NP Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GULFSIDE BEHAVIORAL CARE NP INC

Practice address

3902 E State Road 64
Bradenton, FL 34208-9059

Phone

(941) 756-1200

Fax

(941) 739-9358

NPI assigned

Apr 24, 2015

Organization subpart

No

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

Authorized official

Name

Catherine I McDermott, ARNPNPI 1609838119

Title

Owner

Phone

(860) 250-4522

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19143/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine I McDermott, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradenton, FL
  • NPI 1609838119
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Michael Dymek, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradenton, FL
  • NPI 1497400618
  Medicare reassignment Care Compare group NPD
• Jarin Michael Marocco, PMHNP-MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradenton, FL
  • NPI 1366120115
  Medicare reassignment Care Compare group NPD
• Randolph Heinrich Hemsath, M.D.

  • Geriatric Psychiatry Physician
  • Seminole, FL
  • NPI 1700926391
  Medicare reassignment NPD
• Dorothy Anne Foster, LCSW

  • Clinical Social Worker
  • Bradenton, FL
  • NPI 1568977882
  NPD

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1659768950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-756-1200",
            "fax_number": "941-739-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-756-1200",
            "fax_number": "941-739-9358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8450 Lockwood Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342432920",
            "country_code": "US",
            "telephone_number": "941-756-1200",
            "fax_number": "941-739-9358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GULFSIDE BEHAVIORAL CARE NP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-250-4522",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abhishek Gulati, D.O.
• Gulf Coast Music Therapy, Inc.
• Gulf Coast Psychology & Health Inc
• Gulf Coast Pulmonary and Sleep, LLC
• Gulfcoast Urology
• Gulfside Psychology Inc
• Jennifer Gunn, MS, OTR/L
• Amit Kumar Gupta, MD
• Vivek Gupta, MD
• Michael J Gurucharri, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.