Coastal Behavioral Health Llc - Medicare Mental Health Clinic in Wilton Manors, FL

Coastal Behavioral Health Llc is a medicare enrolled mental health clinic (Psychologist) in Wilton Manors, Florida. The current practice location for Coastal Behavioral Health Llc is 1650 Ne 26th St Ste 201, Wilton Manors, Florida. For appointments, you can reach them via phone at (954) 271-3397. The mailing address for Coastal Behavioral Health Llc is 1650 Ne 26th St Ste 201, Wilton Manors, Florida and phone number is (954) 271-3397.

Coastal Behavioral Health Llc is licensed to practice in Florida (license number PY 9346). The clinic also participates in the medicare program and its NPI number is 1184095762. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (954) 271-3397.

Contact Information

Coastal Behavioral Health Llc
1650 Ne 26th St Ste 201
Wilton Manors
FL 33305-1431
(954) 271-3397
(954) 947-3028

Mental Health Clinic Profile

Full NameCoastal Behavioral Health Llc
SpecialityPsychologist
Location1650 Ne 26th St Ste 201, Wilton Manors, Florida
Authorized Official Name and PositionToni Richardi (OWNER)
Authorized Official Contact9542713397
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Coastal Behavioral Health Llc
1650 Ne 26th St Ste 201
Wilton Manors
FL 33305-1431

Ph: (954) 271-3397
Coastal Behavioral Health Llc
1650 Ne 26th St Ste 201
Wilton Manors
FL 33305-1431

Ph: (954) 271-3397

NPI Details:

NPI Number1184095762
Provider Enumeration Date10/08/2015
Last Update Date09/10/2018

Medicare PECOS Information:

Medicare PECOS PAC ID2264734227
Medicare Enrollment IDO20160107001286

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Medical Identifiers

Medical identifiers for Coastal Behavioral Health Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184095762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY 9346 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Coastal Behavioral Health Llc acts as a billing entity for following providers:
Provider NameToni M Richardi
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1295111623
PECOS PAC ID: 3173825130
Enrollment ID: I20180705000518

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Psychologist in Wilton Manors, FL

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Dynamic Outpatient Therapeutic Services, Llc
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Care Resource Community Health Centers, Inc
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