| Brandon Mental Health | |
|
1134 Bell Shoals Rd. Brandon FL 33511 | |
| (813) 315-8648 | |
| (813) 438-8973 |
| Full Name | Brandon Mental Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1134 Bell Shoals Rd., Brandon, Florida |
| Authorized Official Name and Position | Shane Thomas Raymond (C.E.O.) |
| Authorized Official Contact | 8134016586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Mental Health 1134 Bell Shoals Rd. Brandon FL 33511 Ph: (813) 315-8648 | Brandon Mental Health 1134 Bell Shoals Rd. Brandon FL 33511 Ph: (813) 315-8648 |
| NPI Number | 1649421389 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Medicare PECOS PAC ID | 8527136977 |
|---|---|
| Medicare Enrollment ID | O20081013000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649421389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW9082 (Florida) | Primary |
| Provider Name | Shane T Raymond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457516692 PECOS PAC ID: 1355419706 Enrollment ID: I20081013000077 |
| Provider Name | Jacquelyn Coughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396175980 PECOS PAC ID: 9436389186 Enrollment ID: I20140226000591 |
| Provider Name | Reta Passwaters Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912392010 PECOS PAC ID: 7911217377 Enrollment ID: I20151116000168 |
| Provider Name | Kara D Sutter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992134613 PECOS PAC ID: 6406145531 Enrollment ID: I20160512002199 |
| Provider Name | Marilyn Susan Stillwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518297282 PECOS PAC ID: 0749552446 Enrollment ID: I20170815003694 |
| Provider Name | Elmira Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396258174 PECOS PAC ID: 9032471792 Enrollment ID: I20180319000659 |
| Provider Name | Jodi A Druss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205161940 PECOS PAC ID: 8325179492 Enrollment ID: I20181130000020 |
| Provider Name | Charles Mark Preuett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194702845 PECOS PAC ID: 5698014504 Enrollment ID: I20190311001381 |
| Provider Name | Ashley Andrea Nazon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609335884 PECOS PAC ID: 2365775756 Enrollment ID: I20190618002114 |
| Provider Name | Roberta S Higginbotham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700428034 PECOS PAC ID: 6305271297 Enrollment ID: I20200123000854 |
| Provider Name | Ian Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164061040 PECOS PAC ID: 4587095559 Enrollment ID: I20200506001777 |
| Provider Name | Marissa Maciel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437571171 PECOS PAC ID: 3072895135 Enrollment ID: I20210521001309 |
| Provider Name | Rodney Presley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548359177 PECOS PAC ID: 6608978911 Enrollment ID: I20210913003605 |
| Provider Name | Amy Kucharski Grimaldi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215323910 PECOS PAC ID: 7214240910 Enrollment ID: I20220825002524 |
| Provider Name | Tina Leigh Pogorzala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467701078 PECOS PAC ID: 5698119345 Enrollment ID: I20240221001395 |
| Provider Name | Heather Bering |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265853873 PECOS PAC ID: 2466891080 Enrollment ID: I20240416001736 |
| Provider Name | Lauren Lynn Sentovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598519639 PECOS PAC ID: 8527409374 Enrollment ID: I20240510003402 |
Paul Weisemann Professional Christian Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-643-2600 Fax: 813-643-2600 | |
Rbh And Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1463 Oakfield Dr, Suite #132, Brandon, FL 33511 Phone: 813-784-5617 | |
Ellie Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 109 N Oakwood Ave Ste 105, Brandon, FL 33510 Phone: 904-704-7575 | |
Tampa Bay Neurology Clinic Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Medical Care Dr, Brandon, FL 33511 Phone: 813-661-2211 Fax: 813-661-2212 | |
Mindful And Present Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 Millennium Pkwy Ste 116, Brandon, FL 33511 Phone: 813-455-8672 | |
Behavior Analysis Next Door, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2527 Edgewater Falls Dr, Brandon, FL 33511 Phone: 561-319-6697 | |
Sheena Baker Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 Millennium Pkwy Ste 109, Brandon, FL 33511 Phone: 405-808-4900 |