Active NPI
Bay Harbor Behavior Associates Inc.
- Professional Counselor
- St Petersburg, FL
National Provider Identifier
1821299330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH003061
- Legal business name
- BAY HARBOR BEHAVIOR ASSOCIATES INC.
- Practice address
- 930 Snell Isle Blvd NE
St Petersburg, FL 33704-3830 - Phone
- (727) 743-3483
- Fax
- (727) 896-7272
- NPI assigned
- May 31, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sara L Gedajlovic, LMHC
- Title
- Ceo
- Phone
- (727) 743-3483
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH003061 | FL | Primary |
Addresses
Primary practice location
930 Snell Isle Blvd NE
St Petersburg, FL 33704-3830
Mailing address
930 Snell Isle Blvd NE
St Petersburg, FL 33704-3830
Phone (727) 743-3483
National Provider Directory
National Provider Directory- Tax ID family
- Bay Harbor Behavior Associates Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- St Petersburg, FL
- NPI 1770891715
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821299330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 SNELL ISLE BLVD NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337043830",
"telephone_number": "727-743-3483",
"fax_number": "727-896-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 SNELL ISLE BLVD NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337043830",
"telephone_number": "727-743-3483",
"fax_number": "727-896-7272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY HARBOR BEHAVIOR ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GEDAJLOVIC",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-743-3483",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH003061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- Bay Area Partners (Bay Area Renal Stone Center)
- Bay Area Surgical Asso
- Bay Area Wellness & Healthcare, Inc (Bay Area Wellness Center)
- Bay Area Wellness Center, Inc.
- Bay Central Neurology Inc
- Bay Harbor Behavioral Associates Inc.
- Bay Health LLC
- Bay Imaging Corporation
- Bay Injury & Rehab Inc
- Bay Injury Physical Therapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.