SEMINOLE COMMUNITY MENTAL HEALTH CENTER INC (NPI# 1164581633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164581633 |
| Entity Type | Organization |
| Organization Name | SEMINOLE COMMUNITY MENTAL HEALTH CENTER INC |
| Practice Address |
237 Fernwood Blvd Fern Park FL 32730-2116 |
| Practice Telephone | 4078312411 |
| Practice Fax Number | 4078310195 |
| Mailing Telephone | 4078312411 |
| Mailing Fax Number | 4078310195 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | MR. JAMES P BERKO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4078312411 |
| Authorized Official Credential | MSW, ACSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060273601 | 05 | |
| FL | 060273622 | 05 | |
| FL | 060273623 | 05 | |
| FL | 060273600 | 05 |
| Street Address |
237 FERNWOOD BLVD |
| City | FERN PARK |
| State | FL |
| Zip Code | 32730-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446404 | Rebecca Schultz | Counselor | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2020-01-13 |
| 1861045296 | Marcia Lynn Brooks | Social Worker | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2019-07-24 |
| 1497312466 | Nicole Connolly | Counselor | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2019-05-24 |
| 1952968927 | Zachariah Fikru | Counselor | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2019-05-24 |
| 1073028601 | Candace Johnson | Counselor | 237 Fernwood Blvd, Fern Park, FL 32730 | 2017-12-05 |
| 1518479658 | Sigrid Holland | Counselor | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2017-10-30 |
| 1649714882 | Aspire Health Partners | Community/Behavioral Health | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2016-12-07 |
| 1245684646 | James Bartlett | Counselor | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2016-04-21 |
| 1407214711 | Candace Fouquet | Counselor | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2016-02-01 |
| 1114327590 | Becky Lynn Parrish | Social Worker | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2014-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932736311 | Inspiring Minds | In Home Supportive Care | 2601 Wells Ave Ste 141, Fern Park, FL 32730 | 2020-03-25 |
| 1164064390 | Estapona Operating, LLC | Assisted Living Facility | 7255 Strive Place, Fern Park, FL 32730 | 2019-10-09 |
| 1841763422 | Kenneth David Culbertson | Behavior Technician | 501 Macaw Ln Apt 4, Fern Park, FL 32730 | 2019-01-07 |
| 1891290003 | Francis Corina Hoffmann | Dentist | 515 State 436, Suite 1000, Casselberry, FL 32730 | 2018-03-28 |
| 1275991515 | Volition Group Corp | Pharmacy | 125 Sr 436, Fern Park, FL 32730 | 2016-02-01 |
| 1740601491 | Eye Express, Inc | Optometrist | 183 E State Rd. 436, Fern Park, FL 32730 | 2013-12-26 |
| 1336264472 | Dialysis Ser Central Florida LLC | Clinic/Center | 4970 South 17-92, Casselberry, FL 32730 | 2007-03-20 |
| 1265533483 | Steven W. Myers | Pharmacist | 7800 Us Hwy 17-92 Unit 160, Winn-dixie, Fern Park, FL 32730 | 2006-09-26 |
| 1659713485 | Mina Mikhail | Chiropractor | 2601 Wells Ave Ste 121, Fern Park, FL 32730-2000 | 2013-07-22 |
| 1598134181 | Mikhail Family Chiropractic & Sports Rehabilitation Center, LLC | Chiropractor | 2601 Wells Ave Ste 121, Fern Park, FL 32730-2000 | 2015-09-24 |
| Find all providers in zip 32730 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1275166431 | Hope Community Mental Health Corp | Clinic/Center | 4801 Nw 7th St Apt 208, Miami, FL 33126-2142 | 2020-02-17 |
| 1598303208 | Harmony Healthcare Orlando Inc | Clinic/Center | 1400 S Orlando Ave Ste 204, Winter Park, FL 32789-5543 | 2019-12-12 |
| 1437705357 | True Care, Inc | Clinic/Center | 20451 S Tamiami Trl Ste 1, Estero, FL 33928-8101 | 2019-08-15 |
| 1689228884 | Greater Harvest Community Outreach Life Center | Clinic/Center | 4888 Nw 183rd St Ste 215, Miami Gardens, FL 33055-2943 | 2019-07-26 |
| 1730747163 | Advanced Community Mental Health Inc | Clinic/Center | 11093 Nw 138th St Unit 210, Hialeah Gardens, FL 33018-1192 | 2019-05-31 |
| 1578120440 | Impact Lives Consulting Group LLC | Clinic/Center | 11613 Sw 216th St, Miami, FL 33170-2933 | 2019-05-24 |
| 1609439140 | Behavioral Health & Wellness of South Florida | Clinic/Center | 11285 Sw 211th St # 202, Miami, FL 33189-2211 | 2019-04-19 |
| Find all providers with the same taxonomy | ||||
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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.