NORTHSIDE MENTAL HEALTH CENTER (NPI# 1750644811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750644811 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE MENTAL HEALTH CENTER |
| Practice Address |
12512 Bruce B Downs Blvd Tampa FL 33612-9209 |
| Practice Telephone | 8139778700 |
| Practice Fax Number | 8139712029 |
| Mailing Telephone | 8139778700 |
| Mailing Fax Number | 8139712029 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Authorized Official Name | PATRICIA ANN TOWER (SUPERVISOR OF CASE MANAGEMENT) |
| Authorized Official Telephone | 8139778700 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437404159 | Northside Mental Health Center | Clinic/Center | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2012-07-18 |
| 1033472667 | Northside Mental Health Center | Community/Behavioral Health | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2012-06-19 |
| 1750671095 | Northside Mental Health Center | Psychiatric Unit | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2011-04-07 |
| 1659672715 | Northside Mental Health Center | Clinic/Center | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2010-11-05 |
| Street Address |
12512 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669498002 | Northside Behavioral Health Center, Inc. | Psychiatric Hospital | 12512 Bruce B Downs Blvd, Tampa, FL 33612 | 2006-07-15 |
| 1205327558 | Savannah Sterns | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-05-22 |
| 1902303357 | Amber E Holbin | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-04-11 |
| 1346743036 | Anthony Jose Silverio | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-03-09 |
| 1063914422 | Brittany Melendez | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-03-01 |
| 1134643463 | Kamille Naomi Harris | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33613 | 2017-07-28 |
| 1053832022 | Kelly Elizabeth Solberg | Social Worker | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-06-29 |
| 1144755968 | Rossen Munroe | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-04-30 |
| 1396277026 | Anne Marie Bowlin | Licensed Practical Nurse | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-03-31 |
| 1902341720 | Joseph Marten | Registered Nurse | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241461 | Munay Behavioral Health | Case Management | 6579 Gunn Hwy, Tampa, FL 33625-4021 | 2020-10-02 |
| 1447863014 | Charlene Boria | Case Management | 16308 Cypress Mulch Cir Apt 2412, Tampa, FL 33624-1284 | 2020-08-25 |
| 1043857154 | Florida Circle of Hope Therapeutic Services Inc | Case Management | 10305 Manta Way, Tampa, FL 33615-4252 | 2019-12-09 |
| 1922656594 | M Square Capital Group LLC | Case Management | 6409 S Dale Mabry Hwy, Tampa, FL 33611-5103 | 2019-08-27 |
| 1942852223 | Good Intentions Support Services,llc | Case Management | 1732 Julian Lane Dr, Tampa, FL 33619-5550 | 2019-07-16 |
| 1952869711 | Buck Rx, LLC | Case Management | 5806 Breckenridge Pkwy Ste B, Tampa, FL 33610-4211 | 2019-03-11 |
| 1487110771 | Brandy Kellam Goldson | Case Management | 600 N Ashley Drive, Suite 1100-93609, Tampa, FL 33602-5300 | 2019-02-12 |
| 1790268324 | A1 Community Outreach Inc | Case Management | 10123 E Sligh Ave, Tampa, FL 33610-9229 | 2018-09-10 |
| 1942717210 | Physician's Managed Services | Case Management | 14910 N Dale Mabry Hwy # 340147, Tampa, FL 33694-0147 | 2018-01-08 |
| 1376055400 | Mary Welsh Foundation, Inc. | Case Management | 400 E Martin Luther King Blvd Ste 107, Tampa, FL 33603-3866 | 2017-10-30 |
| Find all providers in TAMPA | ||||
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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.