Baycare Behavioral Health Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Brooksville, FL
NPI 1962785352 · NPPES record last updated Feb 12, 2020
Key facts
- NPI
- 1962785352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BAYCARE BEHAVIORAL HEALTH INC.
- Practice address
- 15311 Cortez Blvd
Brooksville, FL 34613-6005 - Phone
- (752) 540-9335
- NPI assigned
- Sep 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lynda Gorken
- Title
- Vice President
- Phone
- (727) 281-9390
Other NPIs on the same Medicare enrollment 17
Corporate family (same tax ID) 27
Practitioners 17
-
Gonzalo Arboleda, APRN
-
Andrew Chu, DO
-
Matthew L Fox, LMHC
-
Charteye Hawkins, APRN
-
Amy Marie Hernandez, M.D.
-
Kayla Victoria Hobbs, LCSW
-
Kazi Firoz Hossain, M.D.
-
Chedelie Jones, NURSE PRACTITIONER
-
Meagan Carter Owusu-Yaw, LCSW
-
Pamela J Pedroncelli, APRN
-
Amy Johnson Tower, M.D.
-
Srinivas C Yerneni, M.D.
-
Alexandr Zouev, MD
-
Ruby Abraham, MD
-
James E Butler, M.D., PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040830000131 | FL | Part B Supplier - Clinic/Group Practice | 4688649122 |
Receives reassigned benefits from 218 practitioners 17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Port Richey, FL; Trinity, FL; Tampa, FL; St Petersburg, FL; Saint Petersburg, FL; Largo, FL; Dade City, FL; Brooksville, FL |
National Provider Directory
- Tax ID family
- The Harbor B H C I
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | FL | Yes |
Addresses
Primary practice location
15311 Cortez Blvd
Brooksville, FL 34613-6005
Mailing address
PO Box 100913
Atlanta, GA 30384-3028
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060297306 | Medicaid | FL |
Other providers in Brooksville, FL
- Dawn Janelle Baxley
- Bay Anesthesia Inc
- Bayada Home Health Care, Inc.
- Baycare Behavioral Health Inc.
- Baycare Behavioral Health Inc.
- Beasley Manor Inc.
- Terri Beck
- Alok Aroonkumar Beecum
- Jessica Judith Begin
- Jessica Behringer
All providers in Brooksville, FL · Mental Health Clinic/Center (Including Community Mental Health Center) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.