SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH (NPI# 1942496930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942496930 |
| Entity Type | Organization |
| Organization Name | SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH |
| Practice Address |
4010 Central Ave St Petersburg FL 33711-1239 |
| Mailing Address |
4024 Central Ave St Petersburg FL 33711-1239 |
| Practice Telephone | 7273277656 |
| Mailing Telephone | 7273277656 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | MRS. BARBARA DAIRE (CEO) |
| Authorized Official Telephone | 7273277656 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174719819 | Suncoast Center for Community Mental Health | Clinic/Center | 1001 16th St S, St Petersburg, FL 33705-2231 | 2007-09-17 |
| 1609020015 | Suncoast Center for Community Mental Health | Community/Behavioral Health | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2008-11-12 |
| 1508025479 | Suncoast Center for Community Mental Health | Durable Medical Equipment & Medical Supplies | 3800 Central Ave, St Petersburg, FL 33711-1237 | 2008-06-05 |
| 1063670800 | Suncoast Center for Community Mental Health | Case Management | 3800 Central Ave, St Petersburg, FL 33711-1237 | 2008-05-29 |
| 1508052259 | Suncoast Center for Community Mental Health | Community/Behavioral Health | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2007-09-17 |
| 1386847820 | Suncoast Center for Community Mental Health | Community/Behavioral Health | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2007-06-11 |
| 1164624565 | Suncoast Center for Community Mental Health | Case Management | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2007-06-05 |
| Street Address |
4010 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33711-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770517153 | Lore Caldwell | Counselor | 4010 Central Ave, St Petersburg, FL 33711 | 2006-07-10 |
| 1134727076 | Candis Webb | Counselor | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2020-10-13 |
| 1750997177 | Emmanuel Octavio Gomez | Counselor | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2020-09-21 |
| 1730707399 | Brendon Alan Bass | Counselor | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2020-07-10 |
| 1235753385 | Kimberly Sue Dougherty | Social Worker | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2020-06-04 |
| 1619508454 | Pamela Salcedo | Counselor | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2020-01-30 |
| 1558827014 | Chiara Williams | Nurse Practitioner | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2019-02-20 |
| 1982103370 | Kelsey Nunley | Case Manager/Care Coordinator | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2018-02-12 |
| 1477052850 | Brenda Raj | Case Manager/Care Coordinator | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2018-02-12 |
| 1528567377 | Sarah Schutz | Case Manager/Care Coordinator | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2018-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| 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 |
|---|---|---|---|---|
| 1114295680 | Baycare Behavioral Health Inc. | Clinic/Center | 560 Jackson St N Ste 302, St Petersburg, FL 33705-1449 | 2011-12-12 |
| 1124161062 | Westcare Gulfcoast Florida, Inc | Clinic/Center | 1735 Dr Martin Luther King Jr St S, St Petersburg, FL 33705-2404 | 2007-02-14 |
| 1194838839 | Boley Centers, Inc. | Clinic/Center | 647 34th Ave S, St Petersburg, FL 33705-3730 | 2006-08-16 |
| 1659371763 | Suncoast Center, Inc. | Clinic/Center | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2005-07-29 |
| 1831728344 | Creative Therapies, LLC | Clinic/Center | 475 Central Ave Ste 300, St Petersburg, FL 33701-3859 | 2020-04-06 |
| 1104465376 | Psychotherapy By Stella, LLC | Clinic/Center | 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 | 2020-01-05 |
| 1497318414 | Inherent Strength, LLC. | Clinic/Center | 689 Central Ave, St Petersburg, FL 33701-3664 | 2019-04-16 |
| 1568976298 | Baycare Behavioral Health Inc. | Clinic/Center | 900 Carillon Pkwy Ste 308, St Petersburg, FL 33716-1120 | 2017-11-16 |
| 1831614775 | Rainbow Counseling | Clinic/Center | 4554 Central Ave Ste E2, St Petersburg, FL 33711-1045 | 2017-08-11 |
| 1790051142 | Donna Wilson Psychotherapy, Inc. | Clinic/Center | 7901 4th St N, Suite 327, St Petersburg, FL 33702-4305 | 2012-03-30 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33711 |
Please comment or provide details below to improve the information on SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH.
| 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.