BAYCARE BEHAVIORAL HEALTH INC. (NPI# 1164790648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164790648 |
| Entity Type | Organization |
| Organization Name | BAYCARE BEHAVIORAL HEALTH INC. |
| Other Organization Name | CEREBELLUM - PRIMARY CARE |
| Practice Address |
8146 Cerebellum Way Suite 102 Trinity FL 34655-1784 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 7273590893 |
| Mailing Telephone | 7272819390 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2011-12-12 |
| 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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060297320 | 05 |
| Other Name | Type Code |
|---|---|
| Cerebellum - Primary Care | 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 |
8146 CEREBELLUM WAY SUITE 102 |
| City | TRINITY |
| State | FL |
| Zip Code | 34655-1784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437199486 | Christopher J Wittmann | Physician Assistant | 8146 Cerebellum Way, Suite 102, Trinity, FL 34655-1784 | 2006-06-07 |
| 1942525688 | Trinity Pain Center LLC | Pain Medicine | 8146 Cerebellum Way, Suite 102, Trinity, FL 34655-1784 | 2010-04-06 |
| 1255455044 | Damon T Vu | Pain Medicine | 8146 Cerebellum Way, Suite 102, Trinity, FL 34655-1784 | 2007-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437431467 | Baycare Behavioral Health, Inc | Clinic/Center | 2087 Little Rd, Trinity, FL 34655-4421 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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| 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.