| Mental Health Association In Indian River County Inc | |
|
820 37th Place Vero Beach FL 32960-6562 | |
| (772) 569-9788 | |
| (772) 569-2088 |
| Full Name | Mental Health Association In Indian River County Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 820 37th Place, Vero Beach, Florida |
| Authorized Official Name and Position | Robert J Brugnoli (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7722265388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Association In Indian River County Inc 820 37th Place Vero Beach FL 32960-6562 Ph: (772) 569-9788 | Mental Health Association In Indian River County Inc 820 37th Place Vero Beach FL 32960-6562 Ph: (772) 569-9788 |
| NPI Number | 1760570451 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 06/10/2019 |
| Medicare PECOS PAC ID | 2163652181 |
|---|---|
| Medicare Enrollment ID | O20140312001967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760570451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | James Ranahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699098921 PECOS PAC ID: 4880814607 Enrollment ID: I20140930000794 |
| Provider Name | Jessica Olsen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1316177223 PECOS PAC ID: 9133433675 Enrollment ID: I20150728006283 |
| Provider Name | Heather J Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790830727 PECOS PAC ID: 7214273846 Enrollment ID: I20190117003554 |
| Provider Name | Christine Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407123813 PECOS PAC ID: 7315377116 Enrollment ID: I20200419000086 |
| Provider Name | Philip Cromer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386195097 PECOS PAC ID: 1456782150 Enrollment ID: I20200513001878 |
| Provider Name | Jennifer Leigh Mobley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407381312 PECOS PAC ID: 4587102975 Enrollment ID: I20240816000209 |
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