| Adapt Behavioral Services | |
|
125 S Swoope Ave Ste 110 Maitland FL 32751-5784 | |
| (407) 622-0444 | |
| (407) 699-0444 |
| Full Name | Adapt Behavioral Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 125 S Swoope Ave Ste 110, Maitland, Florida |
| Authorized Official Name and Position | Sharon Estill Older (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4076220444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adapt Behavioral Services 125 S Swoope Ave Ste 110 Maitland FL 32751-5784 Ph: (407) 622-0444 | Adapt Behavioral Services 125 S Swoope Ave Ste 110 Maitland FL 32751-5784 Ph: (407) 622-0444 |
| NPI Number | 1356532584 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 6305986894 |
|---|---|
| Medicare Enrollment ID | O20220422002505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356532584 | NPI | - | NPPES |
| 017781702 | Medicaid | FL | |
| 076780802 | Medicaid | FL | |
| 076780805 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (Florida) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sharon Older |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821212515 PECOS PAC ID: 7113067604 Enrollment ID: I20220422002520 |
| Provider Name | Melanie L Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366627705 PECOS PAC ID: 2466817572 Enrollment ID: I20230425000880 |
| Provider Name | Stephanie Ann Rasbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093017501 PECOS PAC ID: 3375991953 Enrollment ID: I20231120002318 |
| Provider Name | Jacqueline Maria Whitehill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538304274 PECOS PAC ID: 7719339787 Enrollment ID: I20240116002676 |
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