NPIMap

Organization Active NPI

A&M Psychiatric Services PA

Doing business as Gulfcoast Behavioral Health

  • Psychiatry Physician
  • Clearwater, FL
National Provider Identifier
1679500953
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OCL0014825 Issued in FL
Legal business name
A&M PSYCHIATRIC SERVICES PA
Doing business as
Gulfcoast Behavioral Health
Practice address
1938 Soule Rd
Clearwater, FL 33759-1507
Phone
(727) 726-7442
Fax
(727) 288-1111
NPI assigned
Jun 26, 2006
Last updated
Jan 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Joseph I Adan, MDNPI 1609832203
Title
Owner
Phone
(727) 726-7442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OCL0014825 FL Primary

Addresses

Primary practice location

1938 Soule Rd
Clearwater, FL 33759-1507

Mailing address

1938 Soule Rd
Clearwater, FL 33759-1507
Phone (727) 726-7442

Other names 1

  • Gulfcoast Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051019000268 FL Part B Supplier - Clinic/Group Practice 9436175403 Receives reassigned benefits from 10 practitioners
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1679500953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 SOULE RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591507",
            "telephone_number": "727-726-7442",
            "fax_number": "727-288-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 SOULE RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591507",
            "telephone_number": "727-726-7442",
            "fax_number": "727-288-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&M PSYCHIATRIC SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "ADAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-726-7442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OCL0014825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulfcoast Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.