COMMUNITY PSYCHOLOGICAL SERVICES (NPI# 1285893180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285893180 |
| Entity Type | Organization |
| Organization Name | COMMUNITY PSYCHOLOGICAL SERVICES |
| Other Organization Name | NON PROFIT |
| Practice Address |
150 W University Blvd Building 265 Melbourne FL 32901-6975 |
| Practice Telephone | 3217279956 |
| Practice Fax Number | 3217266727 |
| Mailing Telephone | 3217279956 |
| Mailing Fax Number | 3217266727 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | DR. BARBARA MICHELE PAWLILLO (DIRECTOR LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 3217279956 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA INSTITUTE OF TECHNOLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | P43748 | FL | Agencies |
| Other Name | Type Code |
|---|---|
| Non Profit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447235379 | Community Psychological Services | Psychologist | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2005-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY PSYCHOLOGICAL SERVICES, L.L.C. | 702 N Blackhawk Ave Ste 200, Madison, WI 53705-3357 |
| Street Address |
150 W UNIVERSITY BLVD BUILDING 265 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-6975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053492397 | Michael E Kelley | Psychologist | 150 W University Blvd, Melbourne, FL 32901-6982 | 2006-10-17 |
| 1124632328 | Maasa Nishimuta | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-09-04 |
| 1861005548 | Blake Churchman | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-24 |
| 1780296996 | Bailey Bauman | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-19 |
| 1245842749 | Soray Nicole Castro | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-18 |
| 1932710589 | Haley Nicole Harber | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-16 |
| 1841801495 | Kailey Taylor Cravo | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-16 |
| 1083225155 | Eliza Jane Goben | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-12 |
| 1811508955 | Shauna Marie Blady | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-12 |
| 1609408244 | Autumn Grant | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1487265260 | Happyville Counseling LLC | Community/Behavioral Health | 4865 N Wickham Rd, Melbourne, FL 32940-8303 | 2020-08-13 |
| 1073141693 | Terri Williamson, Lmhc, Pa | Community/Behavioral Health | 3270 Suntree Blvd Ste 103, Melbourne, FL 32940-7540 | 2020-03-30 |
| 1174086151 | Wolf Psychological Services LLC | Community/Behavioral Health | 3270 Suntree Blvd Ste 2231, Melbourne, FL 32940-7559 | 2019-04-08 |
| 1639576572 | Archway Counseling Center | Community/Behavioral Health | 274 N Babcock St, Suite C, Melbourne, FL 32935-7334 | 2014-11-20 |
| 1518234830 | Circles of Care, Inc. | Community/Behavioral Health | 880 Airport Blvd, Melbourne, FL 32901-2909 | 2011-12-01 |
| 1467736074 | Sarah M. W, Arnett, Psy.d., P.a. | Community/Behavioral Health | 100 Rialto Pl Ste 754, Melbourne, FL 32901-3003 | 2011-09-30 |
| 1477844751 | For The Community Florida Pllc | Community/Behavioral Health | 627 Williams St, Melbourne, FL 32901-6053 | 2011-04-21 |
| 1932389483 | Prevent of Brevard, Inc. | Community/Behavioral Health | 2115 Babcock St, Melbourne, FL 32901 | 2007-11-13 |
| 1366090730 | Foundations Counseling, LLC. | Community/Behavioral Health | 4875 N Wickham Rd Ste 105, Melbourne, FL 32940-8304 | 2019-08-29 |
| 1669930756 | Dawn A. Huggins Lcsw Pllc | Community/Behavioral Health | 7155 Murrell Rd Ste 101, Melbourne, FL 32940-8258 | 2019-03-07 |
| Find all providers in MELBOURNE | ||||
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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.