| West Florida Behavioral Health Inc | |
|
8333 N Davis Hwy 11th Floor Pensacola FL 32514-6050 | |
| (850) 474-8360 | |
| (850) 969-2970 |
| Full Name | West Florida Behavioral Health Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8333 N Davis Hwy, Pensacola, Florida |
| Authorized Official Name and Position | Richard Dilalla (VICE PRESIDENT) |
| Authorized Official Contact | 6035312657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Florida Behavioral Health Inc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7406 | West Florida Behavioral Health Inc 8333 N Davis Hwy 11th Floor Pensacola FL 32514-6050 Ph: (850) 474-8360 |
| NPI Number | 1457336604 |
|---|---|
| Provider Enumeration Date | 12/09/2005 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 9537126222 |
|---|---|
| Medicare Enrollment ID | O20041214000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457336604 | NPI | - | NPPES |
| 264017100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Henry A Boilini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396730743 PECOS PAC ID: 0345344438 Enrollment ID: I20070329000364 |
| Provider Name | Mary E Lowrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619076080 PECOS PAC ID: 1850485392 Enrollment ID: I20070914000436 |
| Provider Name | Marie Addly Cambronne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639372543 PECOS PAC ID: 0345338802 Enrollment ID: I20071116000091 |
| Provider Name | Michele Weintraub |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679514129 PECOS PAC ID: 5991690554 Enrollment ID: I20071129000556 |
| Provider Name | Thomas E Myer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841285079 PECOS PAC ID: 9830288141 Enrollment ID: I20100818000475 |
| Provider Name | Shabana M. Jaffri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831262542 PECOS PAC ID: 9133266463 Enrollment ID: I20111025000419 |
| Provider Name | Joshua Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659467124 PECOS PAC ID: 0941306682 Enrollment ID: I20111025000844 |
| Provider Name | Julian H Ariza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053520262 PECOS PAC ID: 1456517739 Enrollment ID: I20120801000342 |
| Provider Name | Georgia Ketchum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659690881 PECOS PAC ID: 9830317643 Enrollment ID: I20140820000358 |
| Provider Name | Jacqueline A Bartlett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952468134 PECOS PAC ID: 0345478566 Enrollment ID: I20150105002133 |
| Provider Name | Anna C Doize |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710305107 PECOS PAC ID: 2163748047 Enrollment ID: I20150312001003 |
| Provider Name | Michael Traver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275739021 PECOS PAC ID: 2163733817 Enrollment ID: I20150622001398 |
| Provider Name | Vien Dinh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114217775 PECOS PAC ID: 3072830918 Enrollment ID: I20150914001855 |
| Provider Name | Patricia Michel-garrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891030813 PECOS PAC ID: 1658659107 Enrollment ID: I20161103001042 |
| Provider Name | Clifford Weller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699705269 PECOS PAC ID: 4587859947 Enrollment ID: I20170221002828 |
| Provider Name | Alexander Adelsberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184066672 PECOS PAC ID: 4486907060 Enrollment ID: I20181029001716 |
| Provider Name | Randy K Neil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962898841 PECOS PAC ID: 7618275421 Enrollment ID: I20190531001211 |
| Provider Name | Anastasia Ruiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528589710 PECOS PAC ID: 6709157431 Enrollment ID: I20210607000291 |
| Provider Name | Dianne Camille Kelly Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919365 PECOS PAC ID: 8325371032 Enrollment ID: I20211123000646 |
| Provider Name | Samantha Rose Kolios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285381343 PECOS PAC ID: 4789063389 Enrollment ID: I20220627003738 |
| Provider Name | Lawrence J De Lay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467606616 PECOS PAC ID: 5698924181 Enrollment ID: I20221104000098 |
| Provider Name | Christopher Kyle Totten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235835224 PECOS PAC ID: 6305219072 Enrollment ID: I20230228000235 |
| Provider Name | Vijayabharathi Ekambaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093000689 PECOS PAC ID: 6305129552 Enrollment ID: I20231115000115 |
| Provider Name | Amber Marie Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518726199 PECOS PAC ID: 4688012909 Enrollment ID: I20240405001632 |
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