SEASIDE PSYCHOLOGICAL SERVICES, LLC (NPI# 1245775931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245775931 |
| Entity Type | Organization |
| Organization Name | SEASIDE PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
1705 19th Pl Suite E-2 Vero Beach FL 32960-0686 |
| Practice Telephone | 7729251121 |
| Practice Fax Number | 7729251015 |
| Mailing Telephone | 7729251121 |
| Mailing Fax Number | 7729251015 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | DR. AMY LYNN SOLDERICH (OWNER/PSYCHOLOGIST) |
| Authorized Official Telephone | 7729251121 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PY 9632 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003281361 | Seaside Psychological Services, LLC | Psychologist | 117 Bellevue Ave, 201d, Newport, RI 02840-7439 | 2015-12-11 |
| Street Address |
1705 19TH PL SUITE E-2 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-0686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770913949 | Gregory Ern | Psychologist | 1705 19th Pl, Suite D-2, Vero Beach, FL 32960-0686 | 2013-11-25 |
| 1194263632 | Gabrielle P. Hackett, Psy.d., LLC | Psychologist | 1705 19th Pl, Vero Beach, FL 32960-0686 | 2017-02-04 |
| 1346794740 | Michal Andries | Counselor | 1705 19th Pl, Vero Beach, FL 32960-0686 | 2016-08-15 |
| 1407200645 | Gabrielle Paige Hackett | Psychologist | 1705 19th Pl, Suite A-1-c, Vero Beach, FL 32960-0686 | 2016-04-13 |
| 1730542325 | Ern and Associates, LLC | Psychologist | 1705 19th Pl, Suite D-2, Vero Beach, FL 32960-0686 | 2016-03-31 |
| 1881084143 | William Ferris | Counselor | 1705 19th Pl, Suite E2, Vero Beach, FL 32960-0686 | 2015-01-26 |
| 1730510843 | Lynne Pearl | Counselor | 1705 19th Pl, Ste. E-2, Vero Beach, FL 32960-0686 | 2013-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104091 | Uccare Health LLC | Community/Behavioral Health | 1807 Berkshire Cir Sw, Vero Beach, FL 32968-6720 | 2020-08-11 |
| 1700441615 | Pattern for Purpose, LLC. | Community/Behavioral Health | 765 10th Ave Sw, Vero Beach, FL 32962-4413 | 2019-05-06 |
| 1780118836 | Mcgill Center for Independent Living LLC | Community/Behavioral Health | 920 Southlakes Way Sw, Vero Beach, FL 32968-7526 | 2017-04-15 |
| 1417317926 | The Tate Center Inc | Community/Behavioral Health | 7986 100th Ave, Vero Beach, FL 32967-2754 | 2016-02-25 |
| 1376926188 | Leaps-asd LLC | Community/Behavioral Health | 1917 Sixty Oaks Ln, Vero Beach, FL 32966-1078 | 2015-06-30 |
| 1063702066 | James A. Robison, Psy.d., P.a. | Community/Behavioral Health | 800 20th Pl, Suite 2, Vero Beach, FL 32960-5391 | 2011-04-11 |
| 1831270644 | Behavior Building Blocks, LLC | Community/Behavioral Health | 4245 13th Pl, Vero Beach, FL 32960-3838 | 2006-10-18 |
| 1760570451 | Mental Health Association In Indian River County Inc | Community/Behavioral Health | 820 37th Place, Vero Beach, FL 32960-6562 | 2006-10-10 |
| 1952786881 | Behavioral Stepping Stones LLC | Community/Behavioral Health | 355 9th Pl, Vero Beach, FL 32960-6819 | 2015-07-21 |
| 1457758625 | Tms Therapeutic Services, LLC | Community/Behavioral Health | 333 17th St, Ste Q, Vero Beach, FL 32960-5670 | 2014-12-03 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
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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.