| Saafe Behavioral Services Llc | |
|
201 W Plymouth Ave Deland FL 32720-2753 | |
| (386) 873-2963 | |
| (386) 873-2786 |
| Full Name | Saafe Behavioral Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 201 W Plymouth Ave, Deland, Florida |
| Authorized Official Name and Position | Deidra Jacobs (CEO) |
| Authorized Official Contact | 3868732963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saafe Behavioral Services Llc 201 W Plymouth Ave Deland FL 32720-2753 Ph: (386) 873-2963 | Saafe Behavioral Services Llc 201 W Plymouth Ave Deland FL 32720-2753 Ph: (386) 873-2963 |
| NPI Number | 1154757557 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 11/28/2017 |
| Medicare PECOS PAC ID | 5092943241 |
|---|---|
| Medicare Enrollment ID | O20140114001404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154757557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Amparo Benitez-broome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447352174 PECOS PAC ID: 0042287880 Enrollment ID: I20040913000366 |
| Provider Name | Lynval Parke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548396344 PECOS PAC ID: 3779537279 Enrollment ID: I20050308000805 |
| Provider Name | Edda Casanova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215922695 PECOS PAC ID: 1658337217 Enrollment ID: I20070608000113 |
| Provider Name | Hilda E Vega-vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891879110 PECOS PAC ID: 8628145141 Enrollment ID: I20080925000588 |
| Provider Name | Jose A Vera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669702270 PECOS PAC ID: 3173668142 Enrollment ID: I20100302000182 |
| Provider Name | Kimberly Lockwood Rust |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346546132 PECOS PAC ID: 1850575937 Enrollment ID: I20110414000277 |
| Provider Name | Aikiesha N Shelby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700933512 PECOS PAC ID: 9830345750 Enrollment ID: I20130711000536 |
| Provider Name | Santosh Kumar Pillai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346405024 PECOS PAC ID: 3072747211 Enrollment ID: I20131002000092 |
| Provider Name | Judith Hewes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922347863 PECOS PAC ID: 9335373265 Enrollment ID: I20131009000582 |
| Provider Name | Brett G Althafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467761593 PECOS PAC ID: 7810119807 Enrollment ID: I20141106001032 |
| Provider Name | Abisoye Somorin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689026924 PECOS PAC ID: 5193012631 Enrollment ID: I20160927000858 |
| Provider Name | Carmen Z Sanz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669462024 PECOS PAC ID: 1759395916 Enrollment ID: I20170126000009 |
| Provider Name | Luis H Negron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043343676 PECOS PAC ID: 7315176658 Enrollment ID: I20180509002639 |
| Provider Name | Laura S Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558818005 PECOS PAC ID: 0042556953 Enrollment ID: I20190115000747 |
| Provider Name | Steven C Littleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881163673 PECOS PAC ID: 4789920497 Enrollment ID: I20190116001913 |
| Provider Name | Marline A Toussaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659842318 PECOS PAC ID: 2668710781 Enrollment ID: I20190215001458 |
| Provider Name | Ferdinand L Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942767637 PECOS PAC ID: 0648511212 Enrollment ID: I20190417003032 |
| Provider Name | Amanda K Janner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346438009 PECOS PAC ID: 9436480431 Enrollment ID: I20191004002257 |
| Provider Name | Kanisha L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265099238 PECOS PAC ID: 4183955677 Enrollment ID: I20191015001254 |
| Provider Name | Morgan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992271134 PECOS PAC ID: 4082039318 Enrollment ID: I20200804002495 |
| Provider Name | Priya James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407272651 PECOS PAC ID: 2466860093 Enrollment ID: I20210421000790 |
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