SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH (NPI# 1174719819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174719819 |
| Entity Type | Organization |
| Organization Name | SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH |
| Practice Address |
1001 16th St S St Petersburg FL 33705-2231 |
| Mailing Address |
4024 Central Ave St Petersburg FL 33711-1239 |
| Practice Telephone | 7273277656 |
| Mailing Telephone | 7273277656 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |
| Authorized Official Name | MRS. BARBARA DAIRE (CEO) |
| Authorized Official Telephone | 7273277656 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609020015 | Suncoast Center for Community Mental Health | Community/Behavioral Health | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2008-11-12 |
| 1508025479 | Suncoast Center for Community Mental Health | Durable Medical Equipment & Medical Supplies | 3800 Central Ave, St Petersburg, FL 33711-1237 | 2008-06-05 |
| 1063670800 | Suncoast Center for Community Mental Health | Case Management | 3800 Central Ave, St Petersburg, FL 33711-1237 | 2008-05-29 |
| 1942496930 | Suncoast Center for Community Mental Health | Clinic/Center | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2007-09-24 |
| 1508052259 | Suncoast Center for Community Mental Health | Community/Behavioral Health | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2007-09-17 |
| 1386847820 | Suncoast Center for Community Mental Health | Community/Behavioral Health | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2007-06-11 |
| 1164624565 | Suncoast Center for Community Mental Health | Case Management | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2007-06-05 |
| Street Address |
1001 16TH ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669091872 | Tertia Marshall | Behavioral Analyst | 1001 16th St S, St Petersburg, FL 33705-2231 | 2020-04-09 |
| 1619596830 | Paula Styles | Behavioral Analyst | 1001 16th St S, St Petersburg, FL 33705-2231 | 2020-04-09 |
| 1639719479 | Samantha Josephine Circelli | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2020-01-09 |
| 1184260069 | Kendal Hansen | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2019-11-26 |
| 1841849452 | Sharronah F.w. Scott | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2019-09-06 |
| 1093243883 | Holly Harrison | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2017-05-24 |
| 1790213585 | Samantha Marlowe Maederer | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2017-05-24 |
| 1831547793 | Ronald Bell | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2016-06-01 |
| 1255795670 | Fatimah Ebadi | Case Manager/Care Coordinator | 1001 16th St S, St Petersburg, FL 33705-2231 | 2016-04-12 |
| 1104288299 | Shelina Persad | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2016-03-28 |
| Find all providers in the same location | ||||
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1104318633 | Level Wellness, LLC | Clinic/Center | 360 Central Ave Fl 8, St Petersburg, FL 33701-3832 | 2018-05-31 |
| 1750880811 | Samuel Holte Counseling | Clinic/Center | 1432 Martin Luther King St N # Jrn, St Petersburg, FL 33704-3302 | 2018-02-05 |
| 1417589342 | Calming Waves Counseling, LLC | Clinic/Center | 7901 4th St N, St Petersburg, FL 33702-4305 | 2020-02-08 |
| 1528219888 | Fresh Start Counseling Services LLC | Clinic/Center | 9600 Koger Blvd N, #240, St Petersburg, FL 33702-2487 | 2008-10-06 |
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| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1710597208 | Challenges Conquered Counseling and Consulting, LLC | Clinic/Center | 242 Commercial Blvd Ste C, Lauderdale By The Sea, FL 33308-4496 | 2020-08-09 |
| 1629687520 | Frontline Recovery Center, Inc | Clinic/Center | 6503 Sw 19th St, North Lauderdale, FL 33068-4808 | 2020-07-27 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
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| City | ST PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH.
| 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.