SOUTH BREVARD BEHAVIORAL MEDICINE
NPI 1912163932
Community/Behavioral Health in Palm Bay, FL

Active since July 29, 2008
1501 ROBERT J CONLAN BLVD NE, SUITE 150, PALM BAY, FL 32905(321) 676-3474(321) 676-3412 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About South Brevard Behavioral Medicine NPPES

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

SOUTH BREVARD BEHAVIORAL MEDICINE (NPI 1912163932) is a healthcare organization registered as a community/behavioral health in Palm Bay, Florida and active in the NPI registry since July 2008. The organization lists Scott M. Kaplan, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1912163932
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTH BREVARD BEHAVIORAL MEDICINE
Location Address1501 ROBERT J CONLAN BLVD NE, SUITE 150Palm Bay, FL 32905-3502
Mailing Address1501 Robert J Conlan Blvd Ne, Suite 150Palm Bay, FL 32905-3502 · (321) 676-3474 · Fax (321) 676-3412
Fax(321) 676-3412
Organization SubpartNo
Authorized OfficialScott M. KaplanClinical Psychologist · (321) 675-3474
Enumeration DateJuly 29, 2008
✔ NPI 1912163932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in FL · PY3736
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1501 ROBERT J CONLAN BLVD NE, Palm Bay, FL 32905

Other Identifiers 1

Medicare PIN73318FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Brevard Behavioral Medicine 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 South Brevard Behavioral Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1891916284
1581 ROBERT J CONLAN BLVD NE STE 101
Palm Bay, FL 32905
(321) 676-3474
✔ PECOS✔ Accepts Medicare24 mi

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 South Brevard Behavioral Medicine's NPI number?

The NPI number for South Brevard Behavioral Medicine is 1912163932. It was assigned to this organization in the NPPES registry on July 29, 2008.

Where is South Brevard Behavioral Medicine located?

South Brevard Behavioral Medicine is located at 1501 Robert J Conlan Blvd NE Suite 150, Palm Bay, FL 32905. The listed phone number is (321) 676-3474.

What is South Brevard Behavioral Medicine's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is South Brevard Behavioral Medicine enrolled in Medicare?

Yes. South Brevard Behavioral Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Brevard Behavioral Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to South Brevard Behavioral Medicine. 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 South Brevard Behavioral Medicine was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.