BAYCARE BEHAVIORAL HEALTH NPI 1629351911

NPI Information

NPI: 1629351911
Provider Name: BAYCARE BEHAVIORAL HEALTH

Other Name: HEP

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1120 N BETTY LN
CLEARWATER, FL
ZIP 33755
Phone: (727) 442-9041
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BAYCARE BEHAVIORAL HEALTH is a mental health (including community mental health center) clinic center in Clearwater, FL. BAYCARE BEHAVIORAL HEALTH NPI is 1629351911. The provider is registered as an organization entity type.
The provider Other Name Is Hep.

The provider's business location address is:

1120 N BETTY LN
CLEARWATER, FL
ZIP 33755-303
Phone: (727) 442-9041

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 9/22/2011 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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		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	060297315	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: 11/14/2023

NPI Synchronization or Removal

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