MRS. MONICA JEAN AMELUNGE (NPI# 1902322654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902322654 |
Entity Type | Individual |
Full Name | MRS. MONICA JEAN AMELUNGE |
Credential | PSR |
Practice Address |
1071 Port Malabar Blvd Ne Ste 106 Palm Bay FL 32905-5161 |
Mailing Address |
726 Madelyn Way Apt 207 Melbourne FL 32901-3282 |
Practice Telephone | 4077208887 |
Mailing Telephone | 4074480776 |
Enumeration Date | 2017-08-15 |
Last Update Date | 2017-08-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
1071 PORT MALABAR BLVD NE STE 106 |
City | PALM BAY |
State | FL |
Zip Code | 32905-5161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295091346 | Rebecca Brooks | Social Worker | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2012-04-03 |
1275132680 | Angelica Maria Vargas | Counselor | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2020-10-19 |
1801408349 | Akire D Oyola | Peer Specialist | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2020-08-17 |
1992314447 | Awilda Enid Ramos | Psychologist | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2020-07-29 |
1568089761 | Chaira Zuriel Cancel Marquez | Psychologist | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2020-07-03 |
1497232573 | David Anthony Arrieta | Counselor | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2018-07-23 |
1528552569 | Cynthia Withers Crawford | Counselor | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2018-06-21 |
1922505221 | Janet Aracelly Feria | Case Manager/Care Coordinator | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2018-04-12 |
1619479011 | Donna Roberts | Case Manager/Care Coordinator | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2018-03-02 |
1326498833 | Sandra Correa | Case Manager/Care Coordinator | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2016-06-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
Find all providers in zip 32905 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619481793 | Jnr Care, LLC | Clinic/Center | 127 Broyles Dr Se, Palm Bay, FL 32909-2350 | 2017-11-28 |
1689059719 | Circles of Care, Inc. | Clinic/Center | 2061 Harbor Ave Ne, Palm Bay, FL 32905-3114 | 2015-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
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1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
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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.