| Bywater Mental Health Pllc | |
|
10225 Ulmerton Rd Ste 3a Largo FL 33771-3519 | |
| (727) 371-0079 | |
| Not Available |
| Full Name | Bywater Mental Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10225 Ulmerton Rd Ste 3a, Largo, Florida |
| Authorized Official Name and Position | Gerald Lee Randall (OWNER) |
| Authorized Official Contact | 7273710079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bywater Mental Health Pllc 10225 Ulmerton Rd Ste 3a Largo FL 33771-3519 Ph: (727) 371-0079 | Bywater Mental Health Pllc 10225 Ulmerton Rd Ste 3a Largo FL 33771-3519 Ph: (727) 371-0079 |
| NPI Number | 1912576695 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Medicare PECOS PAC ID | 7911396023 |
|---|---|
| Medicare Enrollment ID | O20211111000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912576695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gerald L Randall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184032740 PECOS PAC ID: 2860753829 Enrollment ID: I20180308000630 |
| Provider Name | Zachary Zimko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437508561 PECOS PAC ID: 6507294782 Enrollment ID: I20200323000883 |
| Provider Name | Christie Daloiso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518651751 PECOS PAC ID: 2860834918 Enrollment ID: I20240521003918 |
| Provider Name | Danielle Nicole Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932457207 PECOS PAC ID: 9739622259 Enrollment ID: I20240625000606 |
Reachout4 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13785 Walsingham Rd, #440, Largo, FL 33774 Phone: 727-641-8878 | |
Creative Behavior Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12505 Starkey Rd Ste K, Largo, FL 33773 Phone: 727-280-6643 | |
Living Word Of God Ministries, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9900 Ulmerton Rd, 218, Largo, FL 33771 Phone: 727-515-1657 | |
Norton Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Belcher Rd S Ste J, Largo, FL 33771 Phone: 727-531-7988 Fax: 727-531-0950 | |
Insight Behavioral Health & Addiction Solutions Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Clearwater Largo Rd N, Largo, FL 33770 Phone: 888-330-2532 | |
Diagnostic Clinic Medical Group, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 W Bay Dr, Rehabilitation Department, Largo, FL 33770 Phone: 727-531-8767 | |
Personal Enrichment Through Mental Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1614 Palm Way, Largo, FL 33771 Phone: 727-545-6477 Fax: 727-552-2463 |