BAYCARE BEHAVIORAL HEALTH INC. (NPI# 1003190323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003190323 |
| Entity Type | Organization |
| Organization Name | BAYCARE BEHAVIORAL HEALTH INC. |
| Other Organization Name | AGE 0-20 ONLY |
| Practice Address |
15311 Cortez Blvd Brooksville FL 34613-6005 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 7525409335 |
| Mailing Telephone | 7272819390 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | MRS. LYNDA GORKEN (VICE PRESIDENT) |
| Authorized Official Telephone | 7272819390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060297311 | 05 |
| Other Name | Type Code |
|---|---|
| Age 0-20 only | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114295680 | Baycare Behavioral Health Inc. | Clinic/Center | 560 Jackson St N Ste 302, St Petersburg, FL 33705-1449 | 2011-12-12 |
| 1801178827 | Baycare Behavioral Health Inc. | Clinic/Center | 31860 Us 19 N, Palm Harbor, FL 34684-3713 | 2011-09-15 |
| 1508864521 | Baycare Behavioral Health Inc. | Clinic/Center | 7809 Massachusetts Ave, New Port Richey, FL 34653-3028 | 2005-07-13 |
| 1568976298 | Baycare Behavioral Health Inc. | Clinic/Center | 900 Carillon Pkwy Ste 308, St Petersburg, FL 33716-1120 | 2017-11-16 |
| 1417296724 | Baycare Behavioral Health Inc. | Clinic/Center | 4821 Us Hwy 19, Suite 4, New Port Richey, FL 36452-0000 | 2013-02-06 |
| 1306184239 | Baycare Behavioral Health Inc. | Clinic/Center | 2461 Enterprise Rd, Suite C, Clearwater, FL 33763-1726 | 2013-01-28 |
| 1225390164 | Baycare Behavioral Health Inc. | Case Management | 8132 King Helie Blvd, New Port Richey, FL 34653-1435 | 2012-06-15 |
| 1831451137 | Baycare Behavioral Health Inc. | Clinic/Center | 14527 7th St, Dade City, FL 33523-3102 | 2012-06-12 |
| 1669734307 | Baycare Behavioral Health Inc. | Clinic/Center | 8132 King Helie Blvd, New Port Richey, FL 34653-1435 | 2012-06-08 |
| 1164788154 | Baycare Behavioral Health Inc. | Clinic/Center | 8787 Bryan Dairy Rd, Suite 275, Largo, FL 33777-1251 | 2012-04-04 |
| Street Address |
15311 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855851 | Gary Lee Crawley | Psychiatry & Neurology | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2005-07-19 |
| 1720584808 | Krystal Brown | Social Worker | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2018-04-05 |
| 1912366063 | Jennifer Gorman | Marriage & Family Therapist | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2016-02-17 |
| 1487046710 | Dawn Head | Social Worker | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2015-02-24 |
| 1003218769 | Sarah Shirina | Social Worker | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2014-09-24 |
| 1376942490 | Jennifer Alana Baptie | Counselor | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2014-08-14 |
| 1245577766 | Gina Jannay Gonzalez | Counselor | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2013-01-04 |
| 1841574167 | Baycare Behavioral Health | Case Management | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2011-10-05 |
| 1669756987 | Baycare Behavioral Health Inc. | General Practice | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2011-10-05 |
| 1962785352 | Baycare Behavioral Health Inc. | Clinic/Center | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2011-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937290 | In The Name of Children, LLC | Clinic/Center | 300 S Pine Island Rd Ste 224, Plantation, FL 33324-2620 | 2020-09-22 |
| 1700403698 | True Care Home Services Inc | Clinic/Center | 9139 Sw 227th Ter, Cutler Bay, FL 33190-1977 | 2020-06-26 |
| 1225661473 | The Center for Advanced Neurosciences | Clinic/Center | 13337 Sw 44th St, Davie, FL 33330-4713 | 2020-02-17 |
| 1528628856 | Modern Reality | Clinic/Center | 200 Knuth Rd Ste 101, Boynton Beach, FL 33436-4635 | 2019-06-18 |
| 1801450515 | Inspirational Care Counseling LLC | Clinic/Center | 12630 Bramfield Dr, Riverview, FL 33579-7774 | 2019-04-29 |
| 1942769567 | Veronica Castro, Psy.d., Pa | Clinic/Center | 9380 Sunset Dr Ste B165, Miami, FL 33173-5456 | 2019-03-13 |
| 1780159061 | Solutions Center for Personal Growth | Clinic/Center | 664 Se Monterey Rd, Stuart, FL 34994-4410 | 2018-10-12 |
| 1821595281 | Inspirations Youth Academy LLC | Clinic/Center | 757 South East 17th Street, Fort Lauderdale, FL 33316-2960 | 2018-04-11 |
| 1558867341 | All Star Children's Foundation | Clinic/Center | 3308 17th St, Sarasota, FL 34235-8904 | 2018-04-02 |
| 1598268906 | Risen Consultants LLC | Clinic/Center | 1470 Nw 107th Ave Unit19r, Sweetwater, FL 33172-2735 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
Please comment or provide details below to improve the information on BAYCARE BEHAVIORAL HEALTH INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.