SOUTH COUNTY MENTAL HEALTH CENTER, INC. (NPI# 1033167721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033167721 |
| Entity Type | Organization |
| Organization Name | SOUTH COUNTY MENTAL HEALTH CENTER, INC. |
| Practice Address |
16158 Military Trl Delray Beach FL 33484 |
| Mailing Address |
16158 Military Trl Delray Beach FL 33484-6502 |
| Practice Telephone | 5616371000 |
| Practice Fax Number | 5616371410 |
| Mailing Telephone | 5616371000 |
| Mailing Fax Number | 5616371410 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | MR. JOSEPH S SPEICHER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5616371000 |
| Authorized Official Credential | LMHC, DPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 060276101 | FL | Agencies |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
060276100 | FL | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
060276100 | FL | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
0950AD962202 | FL | Ambulatory Health Care Facilities |
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL10301 | FL | Nursing & Custodial Care Facilities |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 0950AD9622 | FL | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 0950AD962202 | FL | Residential Treatment Facilities |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH6793 | FL | Suppliers |
| N | 343900000X | Non-emergency Medical Transport (VAN) | 650409644 | FL | Transportation Services |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
060276100 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060276101 | 05 | |
| FL | 060276100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 808 Nw Avenue D, Belle Glade, FL 334302904 | 5619938022 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH COUNTY MENTAL HEALTH CENTER, INC. | 16158 S Military Trail, Delray Beach, FL 33484-6502 |
| Street Address |
16158 MILITARY TRL |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588860001 | Jeffrey Brian Lefton | Counselor | 16158 Military Trl, Delray Beach, FL 33484-6502 | 2007-06-22 |
| 1447453444 | Karyn Ann Green | Counselor | 16158 Military Trl, Delray Beach, FL 33484-6502 | 2007-06-07 |
| 1407916349 | Ann M Laughlin | Psychiatry & Neurology | 16158 Military Trl, Delray Beach, FL 33484-6502 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| 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 |
|---|---|---|---|---|
| 1487290086 | Orion Counseling LLC | Clinic/Center | 800 Palm Trl Ste 200, Delray Beach, FL 33483-5877 | 2019-11-19 |
| 1649771627 | Dana Bottari Lcsw LLC | Clinic/Center | 4731 W Atlantic Ave Ste B21, Delray Beach, FL 33445-3897 | 2018-02-23 |
| 1710382213 | Mental Health Services of Delray Beach | Clinic/Center | 223 Ne 5th Ave Ste 103a, Delray Beach, FL 33483-5530 | 2014-10-27 |
| 1922361252 | Marlene J. Batavia, P.a. | Clinic/Center | 7610 Glendevon Ln, 5210 Linton Blvd, Delray Beach, FL 33446-2805 | 2012-06-21 |
| 1952602633 | Brainstim, LLC | Clinic/Center | 301 West Atlantic Avenue, Suite 0-6, Delray Beach, FL 33444 | 2010-11-11 |
| 1659452563 | Family Behavioral Center, Inc. | Clinic/Center | 5850 W Atlantic Ave, Suite 101, Delray Beach, FL 33484-8429 | 2006-10-18 |
| 1821033218 | Sunny Days of Palm Beach Cmhc Inc | Clinic/Center | 2226 W Atlantic Ave, Suite W, Delray Beach, FL 33445-4637 | 2006-06-18 |
| 1447667837 | La Consulting and Counseling | Clinic/Center | 900 Linton Blvd, Suite 205, Delray Beach, FL 33444-8165 | 2014-07-17 |
| 1477890267 | District Clinic Holdings Inc | Clinic/Center | 225 S Congress Ave, Delray Beach, FL 33445 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
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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.