COASTAL BAY BEHAVIORAL HEALTH, INC (NPI# 1831537034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831537034 |
| Entity Type | Organization |
| Organization Name | COASTAL BAY BEHAVIORAL HEALTH, INC |
| Practice Address |
7235 Bonneval Rd Jacksonville FL 32256-7565 |
| Practice Telephone | 9046471555 |
| Mailing Telephone | 9046471555 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2016-04-09 |
| Authorized Official Name | SHAWN THORPE (PRESIDENT) |
| Authorized Official Telephone | 9046471555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | FL | Agencies |
| Street Address |
7235 BONNEVAL RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-7565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780647099 | Thomas Beverly Jones | Radiology | 7235 Bonneval Rd, Ste 164, Jacksonville, FL 32256-7506 | 2006-04-08 |
| 1144885872 | Pamela Wiggins | Contractor | 7235 Bonneval Rd, Jacksonville, FL 32256-7565 | 2019-05-08 |
| 1629514807 | Lifestyle Coaching LLC | Case Management | 7235 Bonneval Rd, Jacksonville, FL 32256-7565 | 2017-01-12 |
| 1508308222 | Health & Total Wellness, LLC | Community/Behavioral Health | 7235 Bonneval Rd, Ste 229, Jacksonville, FL 32256-7565 | 2016-11-11 |
| 1548615289 | Conrad Francis | Case Manager/Care Coordinator | 7235 Bonneval Rd, Suite# 812, Jacksonville, FL 32256-7565 | 2016-05-02 |
| 1114386778 | Allied Health | Community/Behavioral Health | 7235 Bonneval Rd, Jacksonville, FL 32256-7565 | 2016-02-11 |
| 1083071682 | New Horizons Behavioral Health LLC | Community/Behavioral Health | 7235 Bonneval Rd, Jacksonville, FL 32256-7565 | 2016-01-27 |
| 1124493804 | Essence of Life Counseling Services, LLC | Community/Behavioral Health | 7235 Bonneval Rd, Suite# 205, Jacksonville, FL 32256-7565 | 2015-12-07 |
| 1184018665 | Tyrenia Octavia Cross | Counselor | 7235 Bonneval Rd, Suite# 205, Jacksonville, FL 32256-7565 | 2015-03-23 |
| 1396171948 | Beyond Home Health Care Services | Home Health | 7235 Bonneval Rd, Jacksonville, FL 32256-7506 | 2013-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| 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 |
|---|---|---|---|---|
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1063043420 | Elephant Clinic Ltd. | Community/Behavioral Health | 8 Unf Dr # 221, Jacksonville, FL 32224-7699 | 2020-02-03 |
| 1679056857 | Inspire To Rise Inc. | Community/Behavioral Health | 4603 Silverthorn Dr, Jacksonville, FL 32258-2010 | 2018-09-13 |
| 1558863787 | Positive Development, LLC | Community/Behavioral Health | 3840 Belfort Rd Ste 302, Jacksonville, FL 32216-8210 | 2018-03-04 |
| 1073012555 | Pivotal Step Services, Pllc | Community/Behavioral Health | 1106b Gum Branch Rd, Jacksonville, NC 28540-5743 | 2018-02-09 |
| 1518473594 | Werp LLC | Community/Behavioral Health | 5291 Collins Rd Lot 293, Jacksonville, FL 32244-5389 | 2017-12-28 |
| 1871007062 | National Youth Advocate Program, Inc | Community/Behavioral Health | 2200 Rosselle St, Jacksonville, FL 32204-3126 | 2017-11-27 |
| 1962913327 | Port Health Services | Community/Behavioral Health | 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 | 2017-10-12 |
| 1598282667 | B.e.h. Elderly Care LLC | Community/Behavioral Health | 5145 Timuquana Rd Apt 6, Jacksonville, FL 32210-8923 | 2017-08-29 |
| 1427598689 | Family Farms of Northeast Florida | Community/Behavioral Health | 16844 Ethel Rd, Jacksonville, FL 32218-1108 | 2017-03-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on COASTAL BAY BEHAVIORAL HEALTH, 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.