Seaside Behavioral Health & Wellness Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SEASIDE BEHAVIORAL HEALTH & WELLNESS CENTER

Practice address

611 SW Federal Hwy Ste C
Stuart, FL 34994-2925

Phone

(772) 678-6045

NPI assigned

Jun 25, 2022

Last updated

Jul 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nyaisha Cummings, RN

Title

Ceo

Phone

(772) 678-6045

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: ssbhc@seasidebhcenter.com

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1679205025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SW FEDERAL HWY STE C",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942925",
            "telephone_number": "772-678-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SW FEDERAL HWY STE C",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942925",
            "telephone_number": "772-678-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE BEHAVIORAL HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "NYAISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-678-6045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SSBHC@seasidebhcenter.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "611 SW Federal Hwy Ste C",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phyllis Scott
• Caroline Scronce, PHARMD
• SDF Serenity Health Services (N/a)
• Mackenzie Elaine Seal
• Sadie Rose Searcy
• Seaside Family Chiropractic LLC
• Seaside Nutrition Consulting, Inc.
• Angela Seaton, PHD
• Marvin Seaton
• Taylor Renee Sebastian

• Adult Mental Health Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.