COASTAL BEHAVIORAL HEALTH LLC
NPI 1184095762
Psychologist in Wilton Manors, FL

Active since October 08, 2015
1650 NE 26TH ST STE 201, WILTON MANORS, FL 33305(954) 271-3397(954) 947-3028 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2018, Nov 4, 2016 (2 updates tracked since 2016).

About Coastal Behavioral Health Llc NPPES

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

COASTAL BEHAVIORAL HEALTH LLC (NPI 1184095762) is a healthcare organization registered as a psychologist in Wilton Manors, Florida and active in the NPI registry since October 2015. The organization maintains a secondary practice location in Fort Lauderdale and lists Toni Richardi, Owner, as its authorized official.

NPPES Registry Identity

NPI1184095762
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCOASTAL BEHAVIORAL HEALTH LLC
Location Address1650 NE 26TH ST STE 201Wilton Manors, FL 33305-1431
Mailing Address1650 Ne 26th St Ste 201Wilton Manors, FL 33305-1431 · (954) 271-3397 · Fax (954) 947-3028
Fax(954) 947-3028
Organization SubpartNo
Authorized OfficialToni RichardiOwner · (954) 271-3397
Enumeration DateOctober 8, 2015
Last NPPES UpdateSeptember 10, 20182 updates tracked since enumeration
✔ NPI 1184095762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY 9346
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1650 NE 26TH ST STE 201, Wilton Manors, FL 33305

Secondary Practice Location 1

Location 12717 E Oakland Park Blvd., Suite 202Fort Lauderdale, FL 33306 · Phone (954) 271-3397 · Fax (954) 947-3028

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Behavioral Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1295111623
1650 NE 26TH ST STE 201
Wilton Manors, FL 33305
(954) 271-3397
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Coastal Behavioral Health LLC's NPI number?

The NPI number for Coastal Behavioral Health LLC is 1184095762. It was assigned to this organization in the NPPES registry on October 8, 2015.

Where is Coastal Behavioral Health LLC located?

Coastal Behavioral Health LLC is located at 1650 NE 26th St Ste 201, Wilton Manors, FL 33305. The listed phone number is (954) 271-3397.

What is Coastal Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Coastal Behavioral Health LLC enrolled in Medicare?

Yes. Coastal Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Coastal Behavioral Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Behavioral Health LLC was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.