NORTHSIDE BEHAVIORAL HEALTH CENTER, INC.
NPI 1669498002
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tampa, FL

Q: What is Northside Behavioral Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since July 15, 2006

12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612(813) 977-8700(813) 971-2029 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2021, Jul 15, 2021, Sep 4, 2019 and 2 more (5 updates tracked since 2018).

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About Northside Behavioral Health Center, Inc. NPPES

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

NORTHSIDE BEHAVIORAL HEALTH CENTER, INC. (NPI 1669498002), doing business as Northside Mental Health Ctr, Inc, is a healthcare organization registered as a mental health (including community mental health center) in Tampa, Florida and active in the NPI registry since July 2006. The organization lists Lynda Gorken, Vice President, as its authorized official.

NPPES Registry Identity

NPI1669498002

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameNORTHSIDE BEHAVIORAL HEALTH CENTER, INC.

Location Address12512 BRUCE B DOWNS BLVDTampa, FL 33612

Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 315-6974 · Fax (813) 635-2613

Phone(813) 977-8700

Fax(813) 971-2029

Organization SubpartNo

Authorized OfficialLynda GorkenVice President · (727) 281-9202

Enumeration DateJuly 15, 2006

Last NPPES UpdateAugust 1, 20235 updates tracked since enumeration

NPPES CertifiedAugust 1, 2023

✔ NPI 1669498002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

12512 BRUCE B DOWNS BLVD, Tampa, FL 33612

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Other Names 1

Former Legal Business NameNorthside Mental Health Ctr, Inc

Other Identifiers 1

Medicaid117042300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

MR. GARY A. VITACCO-ROBLES LMHC, NCC

Counselor (Mental Health)