HARBOR BEHAVIORAL HEALTH CORPORATION (NPI# 1033761713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033761713 |
Entity Type | Organization |
Organization Name | HARBOR BEHAVIORAL HEALTH CORPORATION |
Practice Address |
1700 50th St N St Petersburg FL 33710-5236 |
Mailing Address |
6629 W Central Ave Toledo OH 43617-1098 |
Practice Telephone | 4197206101 |
Mailing Telephone | 4197208571 |
Enumeration Date | 2019-07-12 |
Last Update Date | 2019-07-16 |
Authorized Official Name | TERRIE FREEMAN (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 4197208571 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
1700 50TH ST N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33710-5236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
Find all providers in zip 33710 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699372490 | Westcare Gulfcoast Flroida Inc | Community/Behavioral Health | 1801 5th Ave N, St Petersburg, FL 33713-7109 | 2020-10-05 |
1215568985 | Imperial Livng Inc | Community/Behavioral Health | 2820 39th Ave N, St Petersburg, FL 33714-4524 | 2020-01-30 |
1033582184 | Thomas D. Young, Lmhc | Community/Behavioral Health | 1432 Martin Luther King St N, St Petersburg, FL 33704-3302 | 2015-11-10 |
1942676812 | Integrated Roots Behavioral Therapy, LLC | Community/Behavioral Health | 1021 39th Ave Ne, St Petersburg, FL 33703-5223 | 2015-08-14 |
1740656925 | Randall Strouse | Community/Behavioral Health | 4032 Grove St S, St Petersburg, FL 33705-3848 | 2015-08-11 |
1083002703 | S.m.i.l.e. Psychology and Associates, LLC | Community/Behavioral Health | 3831 Tyrone Blvd N Ste 201e, St Petersburg, FL 33709-4114 | 2015-01-05 |
1104223197 | Aba By Kdj, Inc. | Community/Behavioral Health | 326 9th Ave Ne Apt 1, St Petersburg, FL 33701-1946 | 2014-11-19 |
1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
1679865612 | Operation Par, Inc | Community/Behavioral Health | 1900 9th St S, St Petersburg, FL 33705-2650 | 2011-05-10 |
1124317698 | Tampa Bay Behavioral Health Centers LLC | Community/Behavioral Health | 1239 4th St S, St Petersburg, FL 33701-5223 | 2011-04-05 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33710 |
Please comment or provide details below to improve the information on HARBOR BEHAVIORAL HEALTH CORPORATION.
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.