BEACHSIDE MEDICAL CARE LLC (NPI# 1821541483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821541483 |
| Entity Type | Organization |
| Organization Name | BEACHSIDE MEDICAL CARE LLC |
| Practice Address |
300 S 6th St Fort Pierce FL 34950-4221 |
| Practice Telephone | 7722521125 |
| Practice Fax Number | 7724484029 |
| Mailing Telephone | 7722521125 |
| Mailing Fax Number | 7724484029 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2017-01-07 |
| Authorized Official Name | DAVID SINCAVAGE (COO) |
| Authorized Official Telephone | 7722521125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
ARNP3333482 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME57053 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
300 S 6TH ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789821 | Alexandria Laine Tackett | Social Worker | 300 S 6th St, Fort Pierce, FL 34950-4221 | 2020-04-16 |
| 1497236988 | Tara T Festa | Counselor | 300 S 6th St, Fort Pierce, FL 34950-4221 | 2018-08-23 |
| 1487912705 | Tabitha Lynn Grant | Counselor | 300 S 6th St, Fort Pierce, FL 34950-4221 | 2012-04-24 |
| 1265720098 | Cheryl Ann Nicholson | Registered Nurse | 300 S 6th St, Fort Pierce, FL 34950-4221 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| 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 |
|---|---|---|---|---|
| 1922114289 | Arthur Pierre-louis | Psychiatry & Neurology | 22 Harbour Isle Dr W, Apt 306, Fort Pierce, FL 34949-2774 | 2006-08-21 |
| 1740892934 | Sassoon Psychiatric Services, P.C. | Psychiatry & Neurology | 130 S Indian River Dr Ste 202, Fort Pierce, FL 34950-4353 | 2020-08-19 |
| 1912268301 | John J Naliyath | Psychiatry & Neurology | 1870 N Lawnwood Cir, Ste A, Fort Pierce, FL 34950-4828 | 2012-06-02 |
| 1316177223 | Jessica Anne Olsen | Psychiatry & Neurology | 2502 Quincy Ave, Fort Pierce, FL 34947-4766 | 2009-07-27 |
| 1770789802 | Veronica Martin-ocasio | Psychiatry & Neurology | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2007-06-25 |
| 1255454880 | Leah N. Evangelista | Psychiatry & Neurology | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2007-04-09 |
| 1518000637 | Alan Ray Tesson | Psychiatry & Neurology | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2007-02-15 |
| 1922148253 | Javier M Prado | Psychiatry & Neurology | 121 N 2nd St, Suite 301, Fort Pierce, FL 34950-4435 | 2007-02-07 |
| 1619025681 | Scott Burgess Richards | Psychiatry & Neurology | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2007-01-08 |
| 1518051325 | Sureshchandra N. Desai | Psychiatry & Neurology | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2006-10-03 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
Please comment or provide details below to improve the information on BEACHSIDE MEDICAL CARE LLC.
| 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.