NORTHSIDE BEHAVIORAL HEALTH CENTER INC (NPI# 1972800555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972800555 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE BEHAVIORAL HEALTH CENTER INC |
| Other Organization Name | NORTHSIDE MENTAL HEALTH CENTER INC |
| Practice Address |
12512 Bruce B Downs Blvd Tampa FL 33612-9209 |
| Practice Telephone | 8139778700 |
| Practice Fax Number | 8139790503 |
| Mailing Telephone | 8139778700 |
| Mailing Fax Number | 8139790503 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2019-09-04 |
| Authorized Official Name | ASHLEY MORROW (BUSINESS MANAGER) |
| Authorized Official Telephone | 8139778700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | FL | Hospitals |
| Other Name | Type Code |
|---|---|
| Northside Mental Health Center Inc | Former Legal Business Name - Organization |
| 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 | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669498002 | Northside Behavioral Health Center, Inc. | Psychiatric Hospital | 12512 Bruce B Downs Blvd, Tampa, FL 33612 | 2006-07-15 |
| 1093748162 | Oglethorpe of Port St Lucie LLC | Psychiatric Hospital | 18302 Highwoods Preserve Pkwy, Suite 114, Tampa, FL 33647-1758 | 2006-07-09 |
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| 1619403359 | Laurie Lambert | Psychiatric Hospital | 14574 92nd Ct N, West Palm Beach, FL 33412-1729 | 2017-05-01 |
| 1538614565 | Dancing Heart Inc. | Psychiatric Hospital | 5520 Haverhill Rd N Apt 24, West Palm Beach, FL 33407-3000 | 2016-08-19 |
| 1285094813 | Southern Winds Hospital LLC | Psychiatric Hospital | 4225 W 20th Ave, Hialeah, FL 33012-5826 | 2016-02-24 |
| 1164812269 | Key Biscayne Psychiatry | Psychiatric Hospital | 240 Crandon Blvd Ste 230, Key Biscayne, FL 33149-1624 | 2015-01-27 |
| 1881096071 | Wilhelm C J Larsen Md Pa | Psychiatric Hospital | 351 Potter Rd, West Palm Beach, FL 33405-3621 | 2014-09-19 |
| 1902218449 | Shick Shadel of Florida LLC | Psychiatric Hospital | 5960 Sw 106th St, Cooper City, FL 33328-6410 | 2014-06-02 |
| 1740614734 | Daniel Leighton Hollar | Psychiatric Hospital | 2387 Parrot Ln, Tallahassee, FL 32303-8333 | 2013-08-26 |
| 1578814265 | Jackson South Community Hospital | Psychiatric Hospital | 9333 Sw 152 St, Miami, FL 33156 | 2012-09-21 |
| 1174836092 | Dfdfdf | Psychiatric Hospital | 7156 Colony Club Dr, 309, Lake Worth, FL 33463-7836 | 2010-07-20 |
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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.