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

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: October 18, 2026.

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

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
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

Other Names 1

Former Legal Business NameNorthside Mental Health Ctr, Inc

Other Identifiers 1

Medicaid117042300FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northside Behavioral Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to Northside Behavioral Health Center, Inc., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Psychiatry21
Mental Health Counselor13
Clinical Social Worker4
Nurse Practitioner2
Clinical Psychologist1

Nearest to this location (20)

See all 41
Nurse Practitioner
NPI 1750314605
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1316500762
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 644-6414
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1356634588
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOSSame address
Clinical Social Worker
NPI 1679113906
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 693-2516
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1205327558
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1740007210
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1427775832
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1114349933
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1790882439
1109 E 139TH AVE
Tampa, FL 33613
(813) 972-2705
✔ PECOS1.4 mi
Psychiatry
NPI 1740337039
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOS✔ Accepts Medicare2.5 mi
Psychiatry
NPI 1548271596
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOS✔ Accepts Medicare2.5 mi
Mental Health Counselor
NPI 1013219286
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOS2.5 mi
Mental Health Counselor
NPI 1275744518
8019 N HIMES AVE SUITE #400
Tampa, FL 33614
(813) 933-1425
✔ PECOS3.2 mi
Clinical Social Worker
NPI 1780414326
8270 WOODLAND CENTER BLVD
Tampa, FL 33614
(206) 738-4179
✔ PECOS✔ Accepts Medicare4.3 mi
Psychiatry
NPI 1205933918
5707 NORTH 22ND STREET
Tampa, FL 33610
(813) 272-2878
✔ PECOS4.7 mi
Psychiatry
NPI 1386741007
5707 N 22ND ST MENTAL HEALTH CARE INC
Tampa, FL 33610
(813) 272-2878
✔ PECOS4.7 mi
Psychiatry
NPI 1255656419
4918 N HABANA AVE
Tampa, FL 33614
(866) 762-1743
✔ PECOS✔ Accepts Medicare5.0 mi
Mental Health Counselor
NPI 1609685221
4004 N RIVERSIDE DR
Tampa, FL 33603
(813) 515-9340
✔ PECOS✔ Accepts Medicare5.4 mi
Psychiatry
NPI 1013368349
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOS✔ Accepts Medicare5.9 mi
Clinical Social Worker
NPI 1205473089
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 977-8700
✔ PECOS✔ Accepts Medicare5.9 mi
See all 41 clinicians

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 Northside Behavioral Health Center, Inc.'s NPI number?

The NPI number for Northside Behavioral Health Center, Inc. is 1669498002. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider was formerly known as Northside Mental Health Ctr, Inc.

Where is Northside Behavioral Health Center, Inc. located?

Northside Behavioral Health Center, Inc. is located at 12512 Bruce B Downs Blvd, Tampa, FL 33612. The listed phone number is (813) 977-8700.

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.

Is Northside Behavioral Health Center, Inc. enrolled in Medicare?

Yes. Northside Behavioral Health Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northside Behavioral Health Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 5 Medicare specialties reassign their Medicare billing to Northside Behavioral Health Center, Inc.. 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. The largest specialties are Psychiatry (21), Mental Health Counselor (13) and Clinical Social Worker (4). Of these, 8 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northside Behavioral Health Center, Inc. accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Northside Behavioral Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northside Behavioral Health Center, Inc. was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.