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PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
NPI 1174385470
Clinic/Center - Adolescent and Children Mental Health in Belleview, FL

Active since January 23, 2024
5818 SE AGNEW RD, BELLEVIEW, FL 34420(561) 715-5910 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Behavioral Health Associates, Inc. NPPES

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

PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC. (NPI 1174385470) is a healthcare organization registered as an adolescent and children mental health in Belleview, Florida and active in the NPI registry since January 2024. The organization lists Nicole Woller, President, as its authorized official.

NPPES Registry Identity

NPI1174385470
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NamePEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
Location Address5818 SE AGNEW RDBelleview, FL 34420-4020
Mailing Address2735 Se 140th PlSummerfield, FL 34491-2877 · (561) 715-5910
Phone(561) 715-5910
Organization SubpartNo
Authorized OfficialNicole WollerPresident · (561) 706-1004
Enumeration DateJanuary 23, 2024
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1174385470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
5818 SE AGNEW RD, Belleview, FL 34420
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAL THERAPEUTIC CORPORATION
Counselor (Mental Health)
5818 SE AGNEW RD
BELLEVIEW, FL 34420
Marion County (561) 715-5910
PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
Social Worker (Clinical)
5818 SE AGNEW RD
BELLEVIEW, FL 34420
Marion County (561) 706-1004
PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
Case Manager/Care Coordinator
5818 SE AGNEW RD
BELLEVIEW, FL 34420
Marion County (561) 706-1004
DR. NICOLE WOLLER PH.D., LCSW
Social Worker (Clinical)
5818 SE AGNEW RD
BELLEVIEW, FL 34420
Marion County (561) 706-1004

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 Pediatric Behavioral Health Associates, Inc.'s NPI number?

The NPI number for Pediatric Behavioral Health Associates, Inc. is 1174385470. It was assigned to this organization in the NPPES registry on January 23, 2024.

Where is Pediatric Behavioral Health Associates, Inc. located?

Pediatric Behavioral Health Associates, Inc. is located at 5818 SE Agnew Rd, Belleview, FL 34420. The listed phone number is (561) 715-5910.

What is Pediatric Behavioral Health Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Pediatric Behavioral Health Associates, Inc. was last updated on March 20, 2024. 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.