| Coastal Psychiatric Walk-in Corp | |
|
1335 Valentine St Melbourne FL 32901-3127 | |
| (321) 586-5444 | |
| (321) 319-9712 |
| Full Name | Coastal Psychiatric Walk-in Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1335 Valentine St, Melbourne, Florida |
| Authorized Official Name and Position | Jessica Karle (CEO) |
| Authorized Official Contact | 3215865444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Psychiatric Walk-in Corp 1335 Valentine St Melbourne FL 32901-3127 Ph: (321) 586-5444 | Coastal Psychiatric Walk-in Corp 1335 Valentine St Melbourne FL 32901-3127 Ph: (321) 586-5444 |
| NPI Number | 1497531529 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 09/05/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 7315391679 |
|---|---|
| Medicare Enrollment ID | O20230920004401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497531529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth E Depelteau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134246176 PECOS PAC ID: 9234299363 Enrollment ID: I20081119000752 |
| Provider Name | Jessica G Karle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689941536 PECOS PAC ID: 0648421057 Enrollment ID: I20121113000140 |
| Provider Name | Bethany Mcqueen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083138622 PECOS PAC ID: 2668714296 Enrollment ID: I20190501002796 |
| Provider Name | Christopher David Spellicy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669137725 PECOS PAC ID: 3971992769 Enrollment ID: I20211117000771 |
| Provider Name | Katherine Ross Warrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932541711 PECOS PAC ID: 0345607511 Enrollment ID: I20230601003261 |
| Provider Name | Nascia Suean Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346931623 PECOS PAC ID: 3577921147 Enrollment ID: I20230614002883 |
| Provider Name | Lineda A Cereste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982388575 PECOS PAC ID: 0143675199 Enrollment ID: I20231011000067 |
| Provider Name | Cynthia Parsons Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013795863 PECOS PAC ID: 0345697876 Enrollment ID: I20231106001601 |
| Provider Name | April Greene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053775387 PECOS PAC ID: 1355799511 Enrollment ID: I20231128002922 |
| Provider Name | Todd W Carney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952415614 PECOS PAC ID: 5991153199 Enrollment ID: I20231129000742 |
| Provider Name | Jane Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376952135 PECOS PAC ID: 7911341870 Enrollment ID: I20240219002363 |
| Provider Name | Myia Denton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851874770 PECOS PAC ID: 3577909258 Enrollment ID: I20240316000246 |
| Provider Name | Elisabeth Xavier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669223368 PECOS PAC ID: 2860834033 Enrollment ID: I20240521000545 |
Florida Counseling Centers Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1299 Bedford Dr, Suite A, Melbourne, FL 32940 Phone: 321-259-1662 Fax: 321-259-1223 | |
Riverside Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1301 W Eau Gallie Blvd, Suite 105, Melbourne, FL 32935 Phone: 321-421-6992 Fax: 321-421-6993 | |
Ams Psychiatry, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6767 N Wickham Rd, Suite 306, Melbourne, FL 32940 Phone: 321-751-1925 Fax: 321-751-9261 | |
Ann L. Riebe, Psy.d., P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Strawbridge Ave, Melbourne, FL 32901 Phone: 321-956-1515 Fax: 321-956-2336 | |
The Sonder Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 S John Rodes Blvd, Melbourne, FL 32904 Phone: 321-241-1170 Fax: 321-241-1171 | |
Florida Counseling Centers Family Services, Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1299 Bedford Dr, Suite A, Melbourne, FL 32940 Phone: 321-259-1662 Fax: 321-259-1223 | |
Rose Roach Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Strawbridge Ave, 200, Melbourne, FL 32901 Phone: 321-271-5487 |