COASTLINE NEUROPSYCHIATRIC NPI 1043996986

NPI Information

  • NPI: 1043996986
  • Provider Name: COASTLINE NEUROPSYCHIATRIC
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 890 S PALAFOX ST SUITE 300-L
    PENSACOLA, FL
    ZIP 32502
  • Phone: (850) 341-4896

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NPI Details

COASTLINE NEUROPSYCHIATRIC is a clinical neuropsychologist in Pensacola, FL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. COASTLINE NEUROPSYCHIATRIC NPI is 1043996986. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

890 S PALAFOX ST SUITE 300-L
PENSACOLA, FL
ZIP 32502
Phone: (850) 341-4896
Fax: (850) 433-1996

The provider's authorized official is Kevin Neil Groom .
The authorized official title is Owner and has the following contact phone number (850) 341-4896.

The enumeration date for this NPI number is 6/26/2023 and was last updated on 10/6/2023.

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
12084P0800XPsychiatry & NeurologyPsychiatryNo
2103G00000XClinical NeuropsychologistYes

What is NPI?

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This page was last updated on: 11/21/2025

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