NORTHSIDE BEHAVIORAL HEALTH CENTER INC
NPI 1750644811
Case Management in Tampa, FL

NPI Status: Active since June 22, 2012

Contact Information

12512 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33612
Phone: (813) 977-8700
Fax: (813) 971-2029

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  • Organization
  • Case Management
  • Accepts Insurance

About NORTHSIDE BEHAVIORAL HEALTH CENTER INC

This page provides the complete NPI Profile along with additional information for Northside Behavioral Health Center Inc, a provider established in Tampa, Florida operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1750644811 assigned on June 2012. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Northside Behavioral Health Center Inc. The authorized official of this NPI record is Lynda Gorken (Vice President)

NPI
1750644811
Provider Legal Name
NORTHSIDE BEHAVIORAL HEALTH CENTER, INC.
Other Organization Name
NORTHSIDE BEHAVIORAL HEALTH CENTER INC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
12512 BRUCE B DOWNS BLVD TAMPA, FL 33612
Location Phone
(813) 977-8700
Location Fax
(813) 971-2029
Mailing Address
2995 DREW ST FL 2 CLEARWATER, FL 33759
Mailing Phone
(727) 315-6974
Mailing Fax
(813) 971-2029
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2012
Last Update Date
08-01-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Management

Taxonomy Code
251B00000X
Type
Agencies
Taxonomy Description
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 0 Indiv Med Deductible - EPO
  • Connect Bronze 5500 Indiv Med Deductible - EPO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold 800 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3600 Indiv Med Deductible - EPO
  • Connect Silver 4300 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LYNDA GORKEN

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(727) 281-9202

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
117580100MEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750644811
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100124882
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 4 + 8 + 8 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1750644811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083620025MRS. KATHRYN HOUSE FANNING A.R.N.P.
Individual
Nurse Practitioner (Psychiatric/Mental Health)12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1740337039DR. STEVEN KANFER M.D.
Individual
Psychiatry & Neurology (Psychiatry)12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1619024007DR. BALSAM FANOUS M.D.
Individual
Psychiatry & Neurology (Psychiatry)12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1396893624DR. HARRIS FEINSTEIN M.D.
Individual
Psychiatry & Neurology (Psychiatry)12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1407995921 ANGELO MELENDEZ
Individual
Social Worker12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1285762153 LAURIE DREISER
Individual
Social Worker12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1831227420 EVA KLINE
Individual
Social Worker12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1023133162 CHERYL A HART
Individual
Social Worker12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1902005069 REBECCA L PRICE
Individual
Social Worker12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1225224421MS. ESTHER REYES WALSH MSW
Individual
Social Worker12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 980-1299
1669623716 RICHARD WILLIAM MILLS III M.S.
Individual
Counselor (Mental Health)12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 486-2378
1134442353MRS. CAROLINE GARCIA B.A
Individual
Case Manager/Care Coordinator12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1225356082MRS. NIAJA MICHELLE JACKSON M.A.
Individual
Case Manager/Care Coordinator12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 980-1299
1013219286MR. GARY A. VITACCO-ROBLES LMHC, NCC
Individual
Counselor (Mental Health)12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1750671095NORTHSIDE MENTAL HEALTH CENTER
Organization
Psychiatric Unit12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1922390715NORTHSIDE MENTAL HEALTH
Organization
Community/Behavioral Health12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1548556277 CRYSTAL TAMMY MARIE DUNCAN MS
Individual
Counselor (Mental Health)12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1033472667NORTHSIDE MENTAL HEALTH CENTER
Organization
Community/Behavioral Health12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1881833366MS. DYRCIA AURORA SAAVEDRA
Individual
Marriage & Family Therapist12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700
1497057376MRS. KRIS REBECCA MULHOLLEN IMH 8623
Individual
Counselor12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
(813) 977-8700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750644811, enumerated in the NPI registry as an "organization" on June 22, 2012

The provider is located at 12512 Bruce B Downs Blvd Tampa, Fl 33612 and the phone number is (813) 977-8700

This medical organization specializes in Case Management with taxonomy code 251B00000X

The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 22, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.