Organization Active NPI

Bay Centre, Inc.

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1891243440
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH1271 Issued in FL
Legal business name
BAY CENTRE, INC.
Practice address
4590 Isabella Ingram Dr
Pensacola, FL 32504-5032
Phone
(850) 619-5631
Fax
(850) 308-7977
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Wanda H Taylor, MCC
Title
Ceo
Phone
(850) 619-5631

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH1271 FL Primary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X SS185 FL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA79472 FL

Addresses

Primary practice location

4590 Isabella Ingram Dr
Pensacola, FL 32504-5032

Mailing address

4590 Isabella Ingram Dr
Pensacola, FL 32504-5032
Phone (850) 619-5631

National Provider Directory

National Provider Directory

Locations

4590 Isabella Ingram Dr
Pensacola, FL 32504
Phone (850) 619-5631

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1891243440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 ISABELLA INGRAM DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045032",
            "telephone_number": "850-619-5631",
            "fax_number": "850-308-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 ISABELLA INGRAM DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045032",
            "telephone_number": "850-619-5631",
            "fax_number": "850-308-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CENTRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-619-5631",
        "authorized_official_credential": "MCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1271",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS185",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA79472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.