NPIMap

Organization Active NPI

Mental Health Association in Indian River County Inc

  • Community/Behavioral Health Agency
  • Vero Beach, FL
National Provider Identifier
1760570451
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENTAL HEALTH ASSOCIATION IN INDIAN RIVER COUNTY INC
Practice address
820 37TH Place
Vero Beach, FL 32960-6562
Phone
(772) 569-9788
Fax
(772) 569-2088
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Robert J BrugnoliNPI 1689681561
Title
Executive Director
Phone
(772) 226-5388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

820 37TH Place
Vero Beach, FL 32960-6562

Mailing address

820 37TH Place
Vero Beach, FL 32960-6562
Phone (772) 569-9788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140312001967 FL Part B Supplier - Clinic/Group Practice 2163652181 Receives reassigned benefits from 11 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

820 37th Pl
Vero Beach, FL 32960
Phone (772) 569-9788

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1760570451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 37TH PLACE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606562",
            "telephone_number": "772-569-9788",
            "fax_number": "772-569-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 37TH PLACE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606562",
            "telephone_number": "772-569-9788",
            "fax_number": "772-569-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION IN INDIAN RIVER COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "BRUGNOLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "772-226-5388"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.