HALIFAX HEALTHCARE SYSTEMS INC (NPI# 1619919057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619919057 |
Entity Type | Organization |
Organization Name | HALIFAX HEALTHCARE SYSTEMS INC |
Other Organization Name | HHCSI HALIFAX BEHAVIORAL SERVICES |
Practice Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 |
Practice Telephone | 3862544000 |
Mailing Telephone | 3862544000 |
Enumeration Date | 2006-06-11 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MR. ARVIN LEWIS (VPPBFS) |
Authorized Official Telephone | 3862264590 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
HHCSI Halifax Behavioral Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588608806 | Halifax Healthcare Systems Inc | Family Medicine | 1455 Dunn Ave, Daytona Beach, FL 32114-1437 | 2006-06-16 |
1477596641 | Halifax Healthcare Systems Inc | Pediatrics | 431 Keech Street, Daytona Beach, FL 32114 | 2006-06-14 |
1154434587 | Halifax Healthcare Systems Inc | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-17 |
1861403008 | Halifax Healthcare Systems Inc | Rehabilitation Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-11 |
1417968223 | Halifax Healthcare Systems Inc | Anesthesiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-10 |
1942211743 | Halifax Healthcare Systems Inc | Anesthesiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-10 |
1780694786 | Halifax Healthcare Systems Inc | Pediatrics | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-09 |
1194735332 | Halifax Healthcare Systems Inc | Pediatrics | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-09 |
1366452591 | Halifax Healthcare Systems Inc | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-09 |
1255341400 | Halifax Healthcare Systems Inc | Radiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-09 |
Street Address |
303 N CLYDE MORRIS BLVD |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-2709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811991227 | Halifax Hospital Medical Center | Case Management | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2005-06-13 |
1447860374 | Priscilla Selig | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2020-08-05 |
1770123820 | Jane Hollis | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2020-01-07 |
1619512282 | Kristin Patrice Gardner | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-11-07 |
1447804364 | Brenda Martin Cohen | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-07-29 |
1285296574 | Cassie C Norris | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-07-08 |
1063077667 | Jara Apperley | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-05-08 |
1972068153 | Sreyboth Sreng | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-02-01 |
1356811244 | Matthew Evans | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2018-12-04 |
1932679503 | Amanda Gonzalez | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-11-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225121411 | Maria E Masferrer | Psychiatry & Neurology | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2006-10-02 |
1427141613 | Jaime Rodriguez Torres | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-10-02 |
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1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
Find all providers with the same taxonomy |
City | DAYTONA BEACH |
Zip Code | 32114 |
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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.