NPIMap

Organization Active NPI

Suncoast Mental Helath

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
National Provider Identifier
1699029017
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNCOAST MENTAL HELATH
Practice address
2814 South U.S Highway 1, Suite D4
Fort Pierce, FL 34982
Phone
(718) 679-6334
NPI assigned
Nov 7, 2012
Organization subpart
Yes
Parent organization
SUNCOAST MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Mrs. Marjorie Marie TimeNPI 1407191893
Title
Counselor
Phone
(718) 679-6334

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2814 South U.S Highway 1, Suite D4
Fort Pierce, FL 34982

Mailing address

2814 S US Highway 1 Ste D4
Fort Pierce, FL 34982-8110
Phone (718) 679-6334

National Provider Directory

National Provider Directory
Tax ID family
Suncoast Mental Helath13 organizations share this tax ID, including this one
Part of
Suncoast Mental Helath

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2814 S US Highway 1
Ste D4
Fort Pierce, FL 34982
Phone (772) 489-4726

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1699029017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 S US HIGHWAY 1 STE D4",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828110",
            "telephone_number": "718-679-6334",
            "fax_number": "772-489-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 SOUTH U.S HIGHWAY 1, SUITE D4",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34982",
            "telephone_number": "718-679-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MENTAL HELATH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNCOAST MENTAL HEALTH",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "TIME",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "718-679-6334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.