SOUTH COUNTY MENTAL HEALTH CENTER INC. NPI 1033167721

NPI Information

NPI: 1033167721
Provider Name: SOUTH COUNTY MENTAL HEALTH CENTER, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 10D0901873

Address:
16158 MILITARY TRL
DELRAY BEACH, FL
ZIP 33484
Phone: (561) 637-1000
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SOUTH COUNTY MENTAL HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Delray Beach, FL. SOUTH COUNTY MENTAL HEALTH CENTER, INC. NPI is 1033167721. The provider is registered as an organization entity type.

The provider's business location address is:

16158 MILITARY TRL
DELRAY BEACH, FL
ZIP 33484
Phone: (561) 637-1000
Fax: (561) 637-1410

The provider's authorized official is Joseph S Speicher .
The authorized official title is Chief Executive Officer and has the following contact phone number (561) 637-1000.

The CLIA number assigned to this NPI record is 10D0901873 - other - comm mental hlth ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 6/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management		060276101	FLORIDA	No
2	261QM0850X	Clinic/Center	Adult Mental Health	060276100	FLORIDA	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	060276100	FLORIDA	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0950AD962202	FLORIDA	No
5	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	AL10301	FLORIDA	No
6	320800000X	Community Based Residential Treatment Facility, Mental Illness		0950AD962202	FLORIDA	No
7	323P00000X	Psychiatric Residential Treatment Facility		0950AD962202	FLORIDA	No
8	3336C0003X	Pharmacy	Community/Retail Pharmacy	PH6793	FLORIDA	No
9	343900000X	Non-emergency Medical Transport (VAN)		650409644	FLORIDA	No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	060276100	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	060276101	MEDICAID	FLORIDA
2	060276100	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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