Individual provider Active NPI

Maureen Mansour, M.D.

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1801230644
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
56547 Issued in CT
Practice address
11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106-1716
Phone
(216) 844-1000
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 56547 CT
Psychiatry Physician 2084P0800X ME134792 FL
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 56547 CT Primary

Addresses

Primary practice location

11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106-1716

Mailing address

47 Long Lots Rd
Westport, CT 06880-3828
Phone (203) 227-1251

Other practice location 1

8002 King Helie Blvd
New Port Richey, FL 34653-1435
Phone (866) 762-1743

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Maureen.MansourMD@direct.mybaycare.org Health Information Exchange (HIE) BayCare Behavioral Health Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811000432 FL Practitioner - Psychiatry 4789988098 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Learning to Achieve Wellness IncGroup PAC ID 9234514464, 48 clinicians

Practice addresses (Care Compare)

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (727) 532-1355

413 W Robertson St
Suite B
Brandon, FL 33511-5014
Phone (813) 999-1516

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355

6600 Madison St
New Port Richey, FL 34652-1971
Phone (727) 532-1355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Jul 7, 2022 Accepting new patients
Hni Medical Services of Florida, LLC Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Jul 7, 2022 Accepting new patients
Behavioral Health Management Services, Inc CurrentSince Jul 7, 2022 Accepting new patients
Winter Haven Hospital Inc CurrentSince Jul 7, 2022 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Jul 7, 2022 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Jul 7, 2022 Accepting new patients
Learning to Achieve Wellness Inc CurrentSince Jan 1, 2025 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Jul 7, 2022 Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Baycare Behavioral Health Inc. Past Accepting new patients
Behavioral Health Management Services, Inc. Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

413 W Robertson St
Ste B
Brandon, FL 33511
Phone (813) 657-4711

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

9241 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 985-2700

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

8002 King Helie Blvd
New Port Richey, FL 34653
Phone (727) 841-4200

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

4918 N Habana Ave
Tampa, FL 33614
Phone (727) 710-0900

29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: maureen.mansourmd@direct.mybaycare.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1801230644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 LONG LOTS RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803828",
            "telephone_number": "203-227-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8002 King Helie Blvd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346531435",
            "country_code": "US",
            "telephone_number": "866-762-1743",
            "fax_number": "727-816-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "56547",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME134792",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "56547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maureen.MansourMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Behavioral Health Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.