NPIMap

Organization Active NPI

Seabreeze Behavioral Medicine PA

  • Psychiatry Physician
  • Cape Coral, FL
National Provider Identifier
1912912874
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SEABREEZE BEHAVIORAL MEDICINE PA
Practice address
923 Del Prado Blvd S
Suite 106
Cape Coral, FL 33990-3652
Phone
(239) 242-8773
Fax
(239) 242-8775
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Bernardo J Arias, M.D.NPI 1912992132
Title
Owner
Phone
(941) 766-9555

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

923 Del Prado Blvd S
Suite 106
Cape Coral, FL 33990-3652

Mailing address

PO Box 495755
Port Charlotte, FL 33949-5755
Phone (941) 766-9555

Other identifiers 1

IdentifierTypeStateIssuer
38239AOtherFLFLORIDA BC & BS

National Provider Directory

National Provider Directory

Locations

923 Del Prado Blvd S
Ste 106
Cape Coral, FL 33990
Phone (239) 242-8773

Practitioners & affiliated clinicians

Practitioners 8

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": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1912912874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495755",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339495755",
            "telephone_number": "941-766-9555",
            "fax_number": "941-766-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 DEL PRADO BLVD S",
            "address_2": "SUITE 106",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903652",
            "telephone_number": "239-242-8773",
            "fax_number": "239-242-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEABREEZE BEHAVIORAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-766-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BC & BS",
            "identifier": "38239A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.