TRIDENT BEHAVIORAL HEALTHCARE, INC. (NPI# 1922358845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922358845 |
| Entity Type | Organization |
| Organization Name | TRIDENT BEHAVIORAL HEALTHCARE, INC. |
| Practice Address |
6133 Us Highway 19 New Port Richey FL 34652-2527 |
| Mailing Address |
6131 Us Highway 19 New Port Richey FL 34652-2527 |
| Practice Telephone | 7278426900 |
| Practice Fax Number | 7278426902 |
| Mailing Telephone | 7278426900 |
| Mailing Fax Number | 7278426902 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |
| Authorized Official Name | MR. THEODORE KENNETH FERGUSON II (PRESIDENT) |
| Authorized Official Telephone | 3522320839 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
6133 US HIGHWAY 19 |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34652-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407107261 | Donna Lee Sands | Counselor | 6133 Us Highway 19, New Port Richey, FL 34652-2527 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
| 1679048805 | Medical Risk Solutions | Family Medicine | 5117 Madison Street, New Port Richey, FL 34652 | 2018-10-03 |
| 1962904409 | Blessings Treatment and Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
| 1053797324 | Manisha Briel Mattei | Home Health Aide | 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 | 2015-08-10 |
| 1225418155 | Richard Nikla Lmhc Dba West Coast Behavioral Therapy | Community/Behavioral Health | 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 | 2015-06-05 |
| 1003294778 | Madison Plummer | Speech-Language Pathologist | 6186 Seaside Drive, New Port Richey, FL 34652 | 2015-05-13 |
| 1194119255 | A Family Dentist Pa | Dentist | 5153 Marine Pkwy, New Port Richey, FL 34652 | 2015-03-26 |
| 1861886186 | Aap Group Inc | Pharmacy | 5812 Sr. 54, Newport Richey, FL 34652 | 2015-03-25 |
| 1225215064 | Nader H Chadda | Internal Medicine | 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 | 2008-01-23 |
| 1639351422 | Sreenivas P Vangara Md Pa | Internal Medicine | 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 | 2007-12-04 |
| Find all providers in zip 34652 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861448151 | West Coast Behavioral Health,llc | Clinic/Center | 5824 State Road 54, Suite 102, New Port Richey, FL 34652-6002 | 2006-05-26 |
| 1912532441 | 11911 Pine Forest Drive, New Port Ritchey 34654 | Clinic/Center | 11911 Pine Forest Dr, New Port Richey, FL 34654-1462 | 2020-03-04 |
| 1821546151 | Joseph P Callan Lcsw | Clinic/Center | 5745 Main St, Suite 204, New Port Richey, FL 34652-2737 | 2016-09-15 |
| 1043472673 | Behavioral Health Management Services Inc | Clinic/Center | 4411 Rowan Rd, New Port Richey, FL 34653-6198 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646654 | Movimentum Psychology | Clinic/Center | 1317 Edgewater Dr Unit 902, Orlando, FL 32804-6350 | 2020-10-09 |
| 1619584802 | U Matter Behavior Therapy LLC | Clinic/Center | 12360 Sw 132nd Ct Ste 108b, Miami, FL 33186-6461 | 2020-09-30 |
| 1508472648 | Illume Counseling & Play Therapy | Clinic/Center | 35008 Emerald Coast Pkwy Ste 203, Destin, FL 32541-4752 | 2020-09-22 |
| 1285240960 | Telepsych LLC | Clinic/Center | 15 Paradise Plz Ste 270, Sarasota, FL 34239-6905 | 2020-09-18 |
| 1790398030 | Olympic Behavioral Health LLC. | Clinic/Center | 3200 S Congress Ave Ste 101, Boynton Beach, FL 33426-9041 | 2020-08-26 |
| 1184237737 | Adel's Hope LLC | Clinic/Center | 160 Island Beach Blvd, Merritt Is, FL 32952-5016 | 2020-08-24 |
| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1710597208 | Challenges Conquered Counseling and Consulting, LLC | Clinic/Center | 242 Commercial Blvd Ste C, Lauderdale By The Sea, FL 33308-4496 | 2020-08-09 |
| 1134738990 | Trauma and Transition Services LLC | Clinic/Center | 360 Central Ave Ste 800, St Petersburg, FL 33701-3984 | 2020-07-28 |
| 1629687520 | Frontline Recovery Center, Inc | Clinic/Center | 6503 Sw 19th St, North Lauderdale, FL 33068-4808 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34652 |
Please comment or provide details below to improve the information on TRIDENT BEHAVIORAL HEALTHCARE, INC..
| 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.