COMMUNITY BEHAVIORAL HEALTH LLC (NPI# 1649733544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649733544 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BEHAVIORAL HEALTH LLC |
| Practice Address |
3501 Del Prado Blvd S Ste 303 Cape Coral FL 33904-7222 |
| Mailing Address |
3501 Del Prado Blvd S Ste 303-304 Cape Coral FL 33904-7201 |
| Practice Telephone | 2393170265 |
| Practice Fax Number | 2396737681 |
| Mailing Telephone | 2394243346 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | MIGUEL A DIAZ (OWNER) |
| Authorized Official Telephone | 2393170265 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 103311900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831644954 | Community Behavioral Health LLC | Community/Behavioral Health | 811 Eastern Shore Dr, Salisbury, MD 21804-5943 | 2016-08-18 |
| 1811594773 | Community Behavioral Health LLC | Community/Behavioral Health | 821 Eastern Shore Dr, Salisbury, MD 21804-5943 | 2020-10-05 |
| 1568085116 | Community Behavioral Health LLC | Community/Behavioral Health | 30519 Prince William St Apt 1, Princess Anne, MD 21853-1246 | 2020-05-18 |
| 1578101051 | Community Behavioral Health LLC | Community/Behavioral Health | 8614 Ocean Gtwy, Easton, MD 21601-7217 | 2019-12-16 |
| 1841844131 | Community Behavioral Health LLC | Community/Behavioral Health | 107 East Main Street, Snow Hill, MD 21863 | 2019-07-25 |
| 1932761624 | Community Behavioral Health LLC | Community/Behavioral Health | 821 Eastern Shore Dr, Salisbury, MD 21804-5943 | 2019-07-02 |
| 1043719875 | Community Behavioral Health LLC | Counselor | 24038 Highway 371, Sarepta, LA 71071-3206 | 2018-02-07 |
| 1215488622 | Community Behavioral Health LLC | Community/Behavioral Health | 426 Dorchester Ave, Cambridge, MD 21613-2446 | 2016-10-20 |
| 1942750245 | Community Behavioral Health LLC | Community/Behavioral Health | 821 Eastern Shore Dr, Salisbury, MD 21804-5943 | 2016-10-11 |
| 1396295697 | Community Behavioral Health LLC | Community/Behavioral Health | 142 Coursevall Dr, Centreville, MD 21617-1824 | 2016-10-11 |
| Street Address |
3501 DEL PRADO BLVD S STE 303 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33904-7222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477855476 | Kimberly A Rogers | Counselor | 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904-7222 | 2010-11-23 |
| 1952910283 | Pedro E Rodriguez | Nurse Practitioner | 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904-7222 | 2020-07-22 |
| 1043727563 | Gabriel Rivera Torres | Nurse Practitioner | 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904-7222 | 2018-01-05 |
| 1285175000 | Leticia Salazar | Marriage & Family Therapist | 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904-7222 | 2017-03-13 |
| 1629511290 | Miguel A Diaz | Nurse Practitioner | 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904-7222 | 2016-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356835698 | Wendy Reyes Perez | Behavioral Analyst | 326 Se 31st St, Cape Coral, FL 33904 | 2018-06-20 |
| 1669923488 | Tcm Quality Services, Inc | Case Management | 2804 Del Prado Blvd, # 209 Suite 3, Cape Coral, FL 33904 | 2016-10-17 |
| 1851766471 | Malissa Maki | Social Worker | 3723a Delprado Blvd, Cape Coral, FL 33904 | 2015-12-08 |
| 1942688767 | Physicians Services and Rehab Inc | Physical Medicine & Rehabilitation | 506 Se 47th Terr Suite B, Cape Coral, FL 33904 | 2015-05-13 |
| 1790184356 | Rx Imaging of Swfl, LLC | Family Medicine | 506 Se 47th St Suite A, Cape Coral, FL 33904 | 2014-08-20 |
| 1508205634 | Brandy Williams | Counselor | 3723 A Del Prado Blvd S, Cape Coral, FL 33904 | 2013-06-21 |
| 1295002608 | Jcs Home Health, Inc. | Home Health | 1505 Se 40th St., Ste. C, Cape Coral, FL 33904 | 2011-11-30 |
| 1477835551 | Thomas Dare | Occupational Therapist | 4129 Se 2nd Ave., Cape Coral, FL 33904 | 2011-09-14 |
| 1134422173 | Michelle L Mandich | Massage Therapist | 3636 Del Prado Blvd S., Cape Coral, FL 33904 | 2010-12-14 |
| 1770807059 | Professional Nurses Registry | Nursing Care | 875 Se 47th Terr., Suite 1, Cape Coral, FL 33904 | 2010-03-16 |
| Find all providers in zip 33904 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144882598 | Smart Endeavors Aba, LLC. | Clinic/Center | 1222 Se 47th St Ste 218, Cape Coral, FL 33904-9679 | 2019-07-06 |
| 1790302024 | Smart Endeavors Therapy Services, LLC. | Clinic/Center | 1222 Se 47th St, Cape Coral, FL 33904-9661 | 2020-07-02 |
| 1235695941 | Allied Medical of Sw Florida Inc. | Clinic/Center | 2503 Del Prado Blvd S Ste 510, Cape Coral, FL 33904-5709 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314163 | Loving Care Pediatric Therapy | Clinic/Center | 140 Pine Ave N, Oldsmar, FL 34677-4629 | 2020-10-20 |
| 1477152460 | Adapting Behaviors, Inc | Clinic/Center | 12440 Sw 143rd Ln, Miami, FL 33186-6035 | 2020-10-20 |
| 1770182073 | Medical Regenerative Centers | Clinic/Center | 1560 Central Ave Unit 462, Saint Petersburg, FL 33705-1627 | 2020-10-19 |
| 1821696766 | Advanced Healthcare Integration, LLC | Clinic/Center | 445 Pineda Ct Ste 200, Melbourne, FL 32940-7555 | 2020-10-13 |
| 1952909954 | Therapy On Call, LLC | Clinic/Center | 93 Bella Vita Way, Ormond Beach, FL 32174-6634 | 2020-10-12 |
| 1992318521 | Acuity Urgent Care | Clinic/Center | 310 Nesbit St, Punta Gorda, FL 33950-3828 | 2020-08-24 |
| 1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
| 1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
| 1306461447 | Elevate Medical Fort Myers, LLC | Clinic/Center | 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127 | 2020-06-15 |
| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CORAL |
| Zip Code | 33904 |
Please comment or provide details below to improve the information on COMMUNITY BEHAVIORAL HEALTH LLC.
| 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.