BAYCARE BEHAVIORAL HEALTH INC. NPI 1164790648

NPI Information

  • NPI: 1164790648
  • Provider Name: BAYCARE BEHAVIORAL HEALTH INC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: CEREBELLUM - PRIMARY CARE
  • Address: 8146 CEREBELLUM WAY
    SUITE 102
    TRINITY, FL
    ZIP 34655
  • Phone: (727) 359-0893

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NPI Details

BAYCARE BEHAVIORAL HEALTH INC. is a mental health (including community mental health center) clinic center in Trinity, FL. BAYCARE BEHAVIORAL HEALTH INC. NPI is 1164790648. The provider is registered as an organization entity type.
The provider Other Name Is Cerebellum - Primary Care.

The provider's business location address is:

8146 CEREBELLUM WAY
SUITE 102
TRINITY, FL
ZIP 34655-784
Phone: (727) 359-0893

The provider's authorized official is Lynda Gorken .
The authorized official title is Vice President and has the following contact phone number (727) 281-9390.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 2/12/2020.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
1060297320MEDICAIDFLORIDA

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: 3/30/2025

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