Suncoast Behavioral Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUNCOAST BEHAVIORAL SERVICES

Practice address

40347 US Highway 19 N Ste 103
Tarpon Springs, FL 34689-4841

Phone

(727) 786-6839

Fax

(727) 772-8212

NPI assigned

Sep 23, 2009

Last updated

Sep 23, 2009By 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

Mary M Fuller, PHD, BCBA, LMHC,NBCCNPI 1538130984

Title

President

Phone

(727) 786-6839

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Mary Margaret Fuller, PHD

  • Mental Health Counselor
  • Tarpon Springs, FL
  • NPI 1538130984
  Authorized official Same address or phone

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1720312762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40347 US HIGHWAY 19 N STE 103",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894841",
            "telephone_number": "727-786-6839",
            "fax_number": "727-772-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40347 US HIGHWAY 19 N STE 103",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894841",
            "telephone_number": "727-786-6839",
            "fax_number": "727-772-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-786-6839",
        "authorized_official_credential": "PHD, BCBA, LMHC,NBCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689477198",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689477196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha Jean Street, APRN
• Rachael Streeter, O.D.
• Teresa M. Suarez, MS, CCC-SLP
• Amy Sullinger, MCMSS, PA-C
• Patrick Sullivan, AP 239
• Sunset Harbor Assisted Living
• Jessica Lauren Swauger, ARNP, PMHNP-BC
• Synergic Healthcare Solutions LLC
• Virginia A Syperda, D.O.
• Cassandra Szarejko, RMHCI, ATR

• Community/Behavioral Health Agency in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.