BAYCARE BEHAVIORAL HEALTH INC. (NPI# 1114295680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114295680 |
| Entity Type | Organization |
| Organization Name | BAYCARE BEHAVIORAL HEALTH INC. |
| Other Organization Name | ST. PETE - PRIMARY CARE |
| Practice Address |
560 Jackson St N Ste 302 St Petersburg FL 33705-1449 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 7278207701 |
| Mailing Telephone | 7272819390 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | MRS. LYNDA GORKEN (VICE PRESIDENT) |
| Authorized Official Telephone | 7272819390 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060297319 | 05 |
| Other Name | Type Code |
|---|---|
| St. Pete - Primary Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801178827 | Baycare Behavioral Health Inc. | Clinic/Center | 31860 Us 19 N, Palm Harbor, FL 34684-3713 | 2011-09-15 |
| 1508864521 | Baycare Behavioral Health Inc. | Clinic/Center | 7809 Massachusetts Ave, New Port Richey, FL 34653-3028 | 2005-07-13 |
| 1568976298 | Baycare Behavioral Health Inc. | Clinic/Center | 900 Carillon Pkwy Ste 308, St Petersburg, FL 33716-1120 | 2017-11-16 |
| 1417296724 | Baycare Behavioral Health Inc. | Clinic/Center | 4821 Us Hwy 19, Suite 4, New Port Richey, FL 36452-0000 | 2013-02-06 |
| 1306184239 | Baycare Behavioral Health Inc. | Clinic/Center | 2461 Enterprise Rd, Suite C, Clearwater, FL 33763-1726 | 2013-01-28 |
| 1225390164 | Baycare Behavioral Health Inc. | Case Management | 8132 King Helie Blvd, New Port Richey, FL 34653-1435 | 2012-06-15 |
| 1831451137 | Baycare Behavioral Health Inc. | Clinic/Center | 14527 7th St, Dade City, FL 33523-3102 | 2012-06-12 |
| 1669734307 | Baycare Behavioral Health Inc. | Clinic/Center | 8132 King Helie Blvd, New Port Richey, FL 34653-1435 | 2012-06-08 |
| 1164788154 | Baycare Behavioral Health Inc. | Clinic/Center | 8787 Bryan Dairy Rd, Suite 275, Largo, FL 33777-1251 | 2012-04-04 |
| 1427322866 | Baycare Behavioral Health Inc. | Clinic/Center | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2012-03-02 |
| Street Address |
560 JACKSON ST N STE 302 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1942496930 | Suncoast Center for Community Mental Health | Clinic/Center | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2007-09-24 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
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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.