SEASIDE PSYCHOLOGY SERVICES, INC (NPI# 1134367980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134367980 |
| Entity Type | Organization |
| Organization Name | SEASIDE PSYCHOLOGY SERVICES, INC |
| Practice Address |
2837 Mayflower Loop Clermont FL 34714-5071 |
| Practice Telephone | 3522555023 |
| Mailing Telephone | 3522555023 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |
| Authorized Official Name | DR. SUSAN ELIZABETH BROGAN (PRESIDENT) |
| Authorized Official Telephone | 3522555023 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PY7782 | FL | Agencies |
| Street Address |
2837 MAYFLOWER LOOP |
| City | CLERMONT |
| State | FL |
| Zip Code | 34714-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017515 | Fresenius Medical Care Four Corners, LLC | Clinic/Center | 503 Cagan View Rd, Ste 300, Clermont, FL 34714 | 2019-01-23 |
| 1255803771 | Natalia M Soto- Robles | Case Manager/Care Coordinator | 2624 Duncan Trail, Kissimmee, FL 34714 | 2018-12-21 |
| 1487145249 | Arelis Negron | Early Intervention Provider Agency | 4408 Blue Mesa Ct., Clermont, FL 34714 | 2018-05-28 |
| 1164931945 | Lisa Hernandez | Behavior Technician | 3232 Callerton Rd, Clermont, FL 34714 | 2017-09-25 |
| 1356879100 | Jacquelyn Giglio | Speech-Language Pathologist | 1050 Highway 27 Suite 9, Clermont, FL 34714 | 2017-05-24 |
| 1518367192 | Michael Edward Gilman | Clinic/Center | 221 Frontage Road, Suite A, Clermont, FL 34714 | 2014-09-02 |
| 1255776175 | Yeimi Larios | Occupational Therapy Assistant | 2938 State Road 33, Clermont, FL 34714 | 2013-05-06 |
| 1598979122 | Carla Talavera-jordan D.m.d., P.a. | Dentist | 533 Cagan Park Ave, Suite 307, Clermont, FL 34714 | 2007-05-10 |
| 1346467339 | Doris Cruz | Dentist | 1100 Us Highway 27, Suite D, Clermont, FL 34714 | 2007-04-19 |
| 1003816570 | Ntc Urgent Care Centers,llc | Clinic/Center | 1503 Sunrise Plaza Drive, Clermont, FL 34714 | 2005-07-27 |
| Find all providers in zip 34714 | ||||
| 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 |
|---|---|---|---|---|
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1295245520 | Alive & Well Corp | Community/Behavioral Health | 10344 Vista Pines Loop, Clermont, FL 34711-9172 | 2017-09-29 |
| 1033665260 | Family Life Counseling Center LLC | Community/Behavioral Health | 1230 Oakley Seaver Dr Ste 307, Clermont, FL 34711-1961 | 2016-08-28 |
| 1437602943 | Achieve Behavior and Learning, LLC | Community/Behavioral Health | 4306 Hammersmith Dr, Clermont, FL 34711-6994 | 2016-08-01 |
| 1407239577 | Pamela Pickett | Community/Behavioral Health | 2442 Linkwood Ave, Clermont, FL 34711-3506 | 2015-07-07 |
| 1336415058 | River Counseling Center Inc | Community/Behavioral Health | 796 Hook St, Clermont, FL 34711-3502 | 2012-03-27 |
| 1295260719 | Milestone Family Services, Inc. | Community/Behavioral Health | 205 Hatteras Ave, Suite 102, Clermont, FL 34711-6502 | 2017-04-21 |
| 1306370317 | Milestone Counseling, Inc. | Community/Behavioral Health | 205 Hatteras Ave, Ste102, Clermont, FL 34711-6502 | 2017-04-17 |
| 1770034001 | A Destiny To Recovery | Community/Behavioral Health | 1184 S Grand Hwy, Clermont, FL 34711-3203 | 2016-10-21 |
| 1396101697 | Neumind Wellness Group | Community/Behavioral Health | 1050 Us Highway 27 Ste 9, Clermont, FL 34714 | 2016-01-04 |
| Find all providers in CLERMONT | ||||
Please comment or provide details below to improve the information on SEASIDE PSYCHOLOGY SERVICES, INC.
| 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.