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PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
NPI 1881216877
Case Manager/Care Coordinator in Belleview, FL

Active since May 12, 2020
5818 SE AGNEW RD, BELLEVIEW, FL 34420(561) 706-1004(561) 892-0268 Get Directions Write a Review

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

Record update history: Aug 12, 2022, May 12, 2020 (2 updates tracked since 2020).

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 1881216877) is a healthcare organization registered as a case manager/care coordinator in Belleview, Florida and active in the NPI registry since May 2020. The organization lists Nicole M Woller, President, as its authorized official.

NPPES Registry Identity

NPI1881216877
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NamePEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
Location Address5818 SE AGNEW RDBelleview, FL 34420-4020
Mailing Address2735 Se 140th PlSummerfield, FL 34491-2877 · (561) 706-1004 · Fax (561) 892-0268
Phone(561) 706-1004
Fax(561) 892-0268
Organization SubpartNo
Authorized OfficialNicole M WollerPresident · (561) 706-1004
Enumeration DateMay 12, 2020
Last NPPES UpdateMarch 20, 20242 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1881216877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
5818 SE AGNEW RD, Belleview, FL 34420
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Other Identifiers 1

Medicaid102843600FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
Clinic/Center (Adolescent and Children Mental Health)
5818 SE AGNEW RD
BELLEVIEW, FL 34420
Marion County (561) 715-5910
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
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 1881216877. It was assigned to this organization in the NPPES registry on May 12, 2020.

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) 706-1004.

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

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

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.