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COASTLINE NEUROPSYCHIATRIC
NPI 1043996986
Clinical Neuropsychologist in Pensacola, FL

Active since June 26, 2023
890 S PALAFOX ST SUITE 300-L, PENSACOLA, FL 32502(850) 341-4896(850) 433-1996 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastline Neuropsychiatric NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTLINE NEUROPSYCHIATRIC (NPI 1043996986) is a healthcare organization registered as a clinical neuropsychologist in Pensacola, Florida and active in the NPI registry since June 2023. The organization lists Kevin Neil Groom, Owner, as its authorized official.

NPPES Registry Identity

NPI1043996986
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameCOASTLINE NEUROPSYCHIATRIC
Location Address890 S PALAFOX ST SUITE 300-LPensacola, FL 32502
Mailing Address304 W Gadsden StPensacola, FL 32501 · (850) 341-4896 · Fax (850) 433-1996
Phone(850) 341-4896
Fax(850) 433-1996
Organization SubpartNo
Authorized OfficialKevin Neil GroomOwner · (850) 341-4896
Enumeration DateJune 26, 2023
Last NPPES UpdateOctober 6, 2023
NPPES CertifiedOctober 6, 2023
✔ NPI 1043996986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
890 S PALAFOX ST SUITE 300-L, Pensacola, FL 32502
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastline Neuropsychiatric's NPI number?

The NPI number for Coastline Neuropsychiatric is 1043996986. It was assigned to this organization in the NPPES registry on June 26, 2023.

Where is Coastline Neuropsychiatric located?

Coastline Neuropsychiatric is located at 890 S Palafox St Suite 300-L, Pensacola, FL 32502. The listed phone number is (850) 341-4896.

What is Coastline Neuropsychiatric's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Coastline Neuropsychiatric was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.