| Atlantic Psychiatric Centers, Inc. | |
|
2123 Franklin Dr Ne Palm Bay FL 32905-4022 | |
| (321) 724-1614 | |
| (321) 722-3590 |
| Full Name | Atlantic Psychiatric Centers, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2123 Franklin Dr Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Kathy M Case (OFFICE MANAGER) |
| Authorized Official Contact | 3217241614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Psychiatric Centers, Inc. 2123 Franklin Dr Ne Palm Bay FL 32905-4022 Ph: () - | Atlantic Psychiatric Centers, Inc. 2123 Franklin Dr Ne Palm Bay FL 32905-4022 Ph: (321) 724-1614 |
| NPI Number | 1386691418 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 1557357860 |
|---|---|
| Medicare Enrollment ID | O20040422000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386691418 | NPI | - | NPPES |
| 116755200 | Medicaid | FL |
| Provider Name | Ethel Sultana Andrews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609865138 PECOS PAC ID: 5496704348 Enrollment ID: I20050118000527 |
| Provider Name | Stephen L Curtis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447282025 PECOS PAC ID: 8022067578 Enrollment ID: I20050121000543 |
| Provider Name | Laura A Begault |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558390674 PECOS PAC ID: 7416996863 Enrollment ID: I20050426000926 |
| Provider Name | Lilia Nikolayev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952493132 PECOS PAC ID: 7911095245 Enrollment ID: I20071120000156 |
| Provider Name | Barbara A Burtner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952354599 PECOS PAC ID: 3274691274 Enrollment ID: I20081020000587 |
| Provider Name | Mylan Kaltman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861645186 PECOS PAC ID: 6901967652 Enrollment ID: I20081212000529 |
| Provider Name | Susan P Kessler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316974900 PECOS PAC ID: 4880728377 Enrollment ID: I20100819000629 |
| Provider Name | Thomas Reffner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356378947 PECOS PAC ID: 9032308192 Enrollment ID: I20110105001089 |
| Provider Name | James N Jacobson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558391110 PECOS PAC ID: 1557550944 Enrollment ID: I20110118000175 |
| Provider Name | Stephen D Cotton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699704056 PECOS PAC ID: 4284620519 Enrollment ID: I20110203000544 |
| Provider Name | Robert E Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245267905 PECOS PAC ID: 4486834736 Enrollment ID: I20110203001007 |
| Provider Name | George V Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841220449 PECOS PAC ID: 0648443747 Enrollment ID: I20111107000323 |
| Provider Name | Walter S Hersing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770512808 PECOS PAC ID: 0648446757 Enrollment ID: I20111220000366 |
| Provider Name | Joel Shuy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164572574 PECOS PAC ID: 4385810498 Enrollment ID: I20111220000447 |
| Provider Name | Michelle M Pearce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073725909 PECOS PAC ID: 1951487883 Enrollment ID: I20120625000074 |
| Provider Name | Sara J Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659464535 PECOS PAC ID: 8921258120 Enrollment ID: I20121024000669 |
| Provider Name | Joseph Llinas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013962158 PECOS PAC ID: 5597902189 Enrollment ID: I20130801000902 |
| Provider Name | Jordan Daniel Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346500998 PECOS PAC ID: 0143464263 Enrollment ID: I20160810001447 |
| Provider Name | Alexis M Eppes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154829943 PECOS PAC ID: 6406117530 Enrollment ID: I20180306000235 |
| Provider Name | Ryan C Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942700182 PECOS PAC ID: 4880959352 Enrollment ID: I20180604002278 |
| Provider Name | Joseph Sin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164866299 PECOS PAC ID: 7416204250 Enrollment ID: I20180724004043 |
| Provider Name | Victoria K Tydings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477119212 PECOS PAC ID: 4183950678 Enrollment ID: I20190722000938 |
| Provider Name | Lisa Ledoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871171439 PECOS PAC ID: 2567870108 Enrollment ID: I20210420000507 |
| Provider Name | Armando Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346839743 PECOS PAC ID: 9335541606 Enrollment ID: I20210708002220 |
| Provider Name | Robert M Scholl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376031948 PECOS PAC ID: 5496134322 Enrollment ID: I20220622003159 |
| Provider Name | Jenifer L Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356126577 PECOS PAC ID: 6103273552 Enrollment ID: I20231107003230 |
| Provider Name | Madison Chambers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063189272 PECOS PAC ID: 8729423736 Enrollment ID: I20240229002757 |
| Provider Name | Victoria Pospisil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194071746 PECOS PAC ID: 0143666891 Enrollment ID: I20240315002893 |
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