SPACE COAST PSYCHIATRY, INC
NPI 1912316886
Psychiatry & Neurology - Child & Adolescent Psychiatry in Cocoa Beach, FL

Active since August 05, 2014
503 N ORLANDO AVE, SUITE 201, COCOA BEACH, FL 32931(321) 613-5595 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Space Coast Psychiatry, Inc NPPES

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

SPACE COAST PSYCHIATRY, INC (NPI 1912316886) is a healthcare organization registered as a child & adolescent psychiatry in Cocoa Beach, Florida and active in the NPI registry since August 2014. The organization lists Joseph F Llinas, President, as its authorized official.

NPPES Registry Identity

NPI1912316886
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameSPACE COAST PSYCHIATRY, INC
Location Address503 N ORLANDO AVE, SUITE 201Cocoa Beach, FL 32931-3171
Mailing Address503 N Orlando Ave, Suite 201Cocoa Beach, FL 32931-3171 · (321) 613-5595
Organization SubpartNo
Authorized OfficialJoseph F LlinasPresident · (321) 613-5595
Enumeration DateAugust 5, 2014
✔ NPI 1912316886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in FL · ME116732
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW5028 (FL)
503 N ORLANDO AVE, Cocoa Beach, FL 32931

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Space Coast Psychiatry, Inc 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 Space Coast Psychiatry, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1013962158
465 MINUTEMEN CSWY UNIT 485
Cocoa Beach, FL 32931
(321) 613-5595
✔ PECOS✔ Accepts Medicare0.5 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 Space Coast Psychiatry, Inc's NPI number?

The NPI number for Space Coast Psychiatry, Inc is 1912316886. It was assigned to this organization in the NPPES registry on August 5, 2014.

Where is Space Coast Psychiatry, Inc located?

Space Coast Psychiatry, Inc is located at 503 N Orlando Ave Suite 201, Cocoa Beach, FL 32931. The listed phone number is (321) 613-5595.

What is Space Coast Psychiatry, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Space Coast Psychiatry, Inc enrolled in Medicare?

Yes. Space Coast Psychiatry, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Space Coast Psychiatry, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Space Coast Psychiatry, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Space Coast Psychiatry, Inc was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.