BEHAVIORAL MEDICINE & PSYCHOTHERAPY LLC (NPI# 1699937466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699937466 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL MEDICINE & PSYCHOTHERAPY LLC |
| Practice Address |
2340 Dairy Rd Suite 104 Melbourne FL 32904-5246 |
| Practice Telephone | 3213275952 |
| Practice Fax Number | 3213275954 |
| Mailing Telephone | 3213275952 |
| Mailing Fax Number | 3213275954 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | DR. LUIS MANUEL VINUELA (MANAGER) |
| Authorized Official Telephone | 3217043042 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME94555 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1710943311 | 01 |
| Street Address |
2340 DAIRY RD SUITE 104 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245453471 | Mary Ann Barnett | Nurse Practitioner | 2340 Dairy Rd, Suite 104, Melbourne, FL 32904-5210 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104990217 | Bethann Mahoney | Psychiatry & Neurology | 100 S Harbor City Blvd, Melbourne, FL 32901-1319 | 2006-11-20 |
| 1760569503 | James Andrew Hunt | Psychiatry & Neurology | 111 E Hibiscus Blvd, Suite B, Melbourne, FL 32901 | 2006-11-01 |
| 1174621254 | Artur Pawel Sadowski | Psychiatry & Neurology | 1097 Acappella Dr, Melbourne, FL 32940-6968 | 2006-09-20 |
| 1326063090 | Suntree Psychiatry Inc | Psychiatry & Neurology | 1331 Bedford Dr, Suite 101, Melbourne, FL 32940-1987 | 2006-07-13 |
| 1518904606 | Yanik Luis-roig | Psychiatry & Neurology | 1331 Bedford Drive, Suite 101, Melbourne, FL 32940 | 2006-05-31 |
| 1447206354 | Ruth M Rivera | Psychiatry & Neurology | Brevard Va Opc, 2900 Veterans Way, Melbourne, FL 32940 | 2006-05-25 |
| 1093776072 | Kelly Lynn Dunn | Psychiatry & Neurology | 1696 West Hibiscus Blvd Suite A, Melbourne, FL 32901 | 2006-03-30 |
| 1013978055 | Earnest Edward Seiler IIi | Psychiatry & Neurology | 1696 West Hibiscus Blvd, Ste A, Melbourne, FL 32901 | 2006-03-29 |
| 1164866299 | Joseph Sin | Psychiatry & Neurology | 1350 Hickory St, Melbourne, FL 32901 | 2013-04-19 |
| 1386995926 | Juan Manuel Bel | Psychiatry & Neurology | 400 E Sheridan Rd, Melbourne, FL 32901-3122 | 2012-09-22 |
| Find all providers in MELBOURNE | ||||
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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.