| Centerstone Of Florida, Inc. | |
|
2020 26th Ave E Bradenton FL 34208-7753 | |
| (941) 782-4600 | |
| (941) 782-4601 |
| Full Name | Centerstone Of Florida, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2020 26th Ave E, Bradenton, Florida |
| Authorized Official Name and Position | Sean Gingras (REGIONAL FINANCE OFFICER) |
| Authorized Official Contact | 9417824299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerstone Of Florida, Inc. P.o. Box 9478 Bradenton FL 34206-9478 Ph: (941) 782-4299 | Centerstone Of Florida, Inc. 2020 26th Ave E Bradenton FL 34208-7753 Ph: (941) 782-4600 |
| NPI Number | 1144251638 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 2668468596 |
|---|---|
| Medicare Enrollment ID | O20040424000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144251638 | NPI | - | NPPES |
| 260859600 | Medicaid | FL | |
| 004469304 | Medicaid | FL | |
| 060280905 | Medicaid | FL | |
| 060280900 | Medicaid | FL | |
| 060280901 | Medicaid | FL | |
| 060280910 | Medicaid | FL | |
| 004469301 | Medicaid | FL | |
| 004469303 | Medicaid | FL | |
| 004469305 | Medicaid | FL |
| Provider Name | Ann L Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598742884 PECOS PAC ID: 9032273743 Enrollment ID: I20090126000046 |
| Provider Name | Margarida M Soares Lance |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558315093 PECOS PAC ID: 4486701505 Enrollment ID: I20090407000349 |
| Provider Name | Ranjay Halder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679779573 PECOS PAC ID: 4688867971 Enrollment ID: I20101019001031 |
| Provider Name | Ilona D Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275528994 PECOS PAC ID: 7719172592 Enrollment ID: I20101108000466 |
| Provider Name | Jose T Zaglul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225024763 PECOS PAC ID: 8123213212 Enrollment ID: I20101115001045 |
| Provider Name | Deborah Lasebny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134227085 PECOS PAC ID: 9133210164 Enrollment ID: I20101122000701 |
| Provider Name | Deborah L Lorshbough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508883380 PECOS PAC ID: 5294918876 Enrollment ID: I20110318000486 |
| Provider Name | Patricia A Sauter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821201393 PECOS PAC ID: 1153505920 Enrollment ID: I20110404000311 |
| Provider Name | Robert K Boxley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871584045 PECOS PAC ID: 3577747880 Enrollment ID: I20110412000226 |
| Provider Name | Luis J Jasa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366534836 PECOS PAC ID: 1052203650 Enrollment ID: I20110614000708 |
| Provider Name | Jesus E. Linares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144384108 PECOS PAC ID: 6800064064 Enrollment ID: I20110714000634 |
| Provider Name | John B Hodgens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710106521 PECOS PAC ID: 0446423180 Enrollment ID: I20111025000824 |
| Provider Name | David Nathan Greenblum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467462713 PECOS PAC ID: 6002089992 Enrollment ID: I20111122000580 |
| Provider Name | Peter Sukin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932178787 PECOS PAC ID: 9638075120 Enrollment ID: I20120501000486 |
| Provider Name | Paul H Wurst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366448615 PECOS PAC ID: 0840297966 Enrollment ID: I20120524000291 |
| Provider Name | Daniel H Gessesse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417112293 PECOS PAC ID: 2961643416 Enrollment ID: I20130725000142 |
| Provider Name | Luretta S Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407260698 PECOS PAC ID: 9436376381 Enrollment ID: I20140816000168 |
| Provider Name | Marco A Rabines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780833038 PECOS PAC ID: 5597912055 Enrollment ID: I20140828001414 |
| Provider Name | Waleska Acevedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871858175 PECOS PAC ID: 0840410635 Enrollment ID: I20140929002493 |
| Provider Name | Ismely Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154640381 PECOS PAC ID: 6608098132 Enrollment ID: I20141117000870 |
| Provider Name | Shashidhar Reddy Sheshani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588732432 PECOS PAC ID: 7214189869 Enrollment ID: I20141201001930 |
| Provider Name | Ann Bernice Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548697626 PECOS PAC ID: 9032432471 Enrollment ID: I20141216001313 |
| Provider Name | Rodolfo E Reni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619935277 PECOS PAC ID: 2163435231 Enrollment ID: I20141222001540 |
| Provider Name | Dennis K Rhyne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316927528 PECOS PAC ID: 8426224734 Enrollment ID: I20150528002865 |
| Provider Name | Karen S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265873178 PECOS PAC ID: 2365665809 Enrollment ID: I20151111002083 |
| Provider Name | Lucille Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154566859 PECOS PAC ID: 3577854140 Enrollment ID: I20160629001228 |
| Provider Name | Brock Hollett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528475324 PECOS PAC ID: 9335433952 Enrollment ID: I20160804001562 |
| Provider Name | Pamela Denison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376098673 PECOS PAC ID: 9335436625 Enrollment ID: I20160930000440 |
| Provider Name | Kenneth Greenwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275637951 PECOS PAC ID: 7810893617 Enrollment ID: I20161115001984 |
| Provider Name | Joshua Stephens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972730612 PECOS PAC ID: 2860632908 Enrollment ID: I20170525001883 |
| Provider Name | Janet Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154418994 PECOS PAC ID: 3971561994 Enrollment ID: I20170711002057 |
| Provider Name | Briton Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124407994 PECOS PAC ID: 8426329293 Enrollment ID: I20170814000534 |
| Provider Name | Jeffrey Hamblin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306823851 PECOS PAC ID: 5991738171 Enrollment ID: I20171009003334 |
| Provider Name | Hallie Rebecca Talov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295089696 PECOS PAC ID: 7315295086 Enrollment ID: I20180813001989 |
| Provider Name | Luke T Chiou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063863546 PECOS PAC ID: 0244580140 Enrollment ID: I20180913000650 |
| Provider Name | Jena L Lieb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710455936 PECOS PAC ID: 8022355593 Enrollment ID: I20190123000887 |
| Provider Name | Rebecca Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659925089 PECOS PAC ID: 1254660715 Enrollment ID: I20190909001287 |
| Provider Name | Bernadette Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790325843 PECOS PAC ID: 0042647745 Enrollment ID: I20200218002822 |
| Provider Name | Jacqueline Hostetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790098671 PECOS PAC ID: 8123214541 Enrollment ID: I20200506001743 |
| Provider Name | Kathryn A Pinkston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235753674 PECOS PAC ID: 3274953260 Enrollment ID: I20201013001165 |
| Provider Name | Emmanuella Armand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447863345 PECOS PAC ID: 6406267095 Enrollment ID: I20201203001475 |
| Provider Name | Meghan Bruen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568072882 PECOS PAC ID: 3577968098 Enrollment ID: I20210823000416 |
| Provider Name | Maria Lana Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871128363 PECOS PAC ID: 8729485891 Enrollment ID: I20210916002750 |
| Provider Name | Frank Escobar Roger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245268713 PECOS PAC ID: 1850394859 Enrollment ID: I20211022002272 |
| Provider Name | Eileen M Burchby |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1407808744 PECOS PAC ID: 3577465889 Enrollment ID: I20211118003123 |
| Provider Name | Edsaida Ortiz-santiago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518553171 PECOS PAC ID: 3173912615 Enrollment ID: I20211122002955 |
| Provider Name | Deanna Lomax |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215399050 PECOS PAC ID: 8123358298 Enrollment ID: I20220125000688 |
| Provider Name | Chelsea Anne Noble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336496736 PECOS PAC ID: 5890180699 Enrollment ID: I20220314001703 |
| Provider Name | Daphne Louise Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750981890 PECOS PAC ID: 6901292143 Enrollment ID: I20220415000158 |
| Provider Name | Jacklyn P Stump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023775400 PECOS PAC ID: 1759778939 Enrollment ID: I20220419001433 |
| Provider Name | Jacqueline Ann Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811567217 PECOS PAC ID: 3870980766 Enrollment ID: I20220422002191 |
| Provider Name | Casey Jane Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548833890 PECOS PAC ID: 9133516073 Enrollment ID: I20220425001118 |
| Provider Name | Victoria Kastor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790314318 PECOS PAC ID: 1254719784 Enrollment ID: I20220611000262 |
| Provider Name | Philip Atanmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376123018 PECOS PAC ID: 2365822657 Enrollment ID: I20220705000505 |
| Provider Name | Beth Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962893776 PECOS PAC ID: 8628398625 Enrollment ID: I20221118000183 |
| Provider Name | Karen Gooden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821707936 PECOS PAC ID: 9436529682 Enrollment ID: I20230104000090 |
| Provider Name | Jennifer Reali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174224836 PECOS PAC ID: 2567836893 Enrollment ID: I20230328000833 |
| Provider Name | Khydine Senior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770281420 PECOS PAC ID: 1557725843 Enrollment ID: I20230920001022 |
| Provider Name | Kayla Paser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598448615 PECOS PAC ID: 8729435458 Enrollment ID: I20231116003080 |
| Provider Name | Barbara Angela Morelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952381998 PECOS PAC ID: 3173970811 Enrollment ID: I20231116003643 |
| Provider Name | Chelsea Walker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437842937 PECOS PAC ID: 0143678821 Enrollment ID: I20231120001591 |
| Provider Name | Deirdre Michelle Guilloton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679088686 PECOS PAC ID: 3375991961 Enrollment ID: I20231120002868 |
| Provider Name | Patricia Lynn Normile |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538460910 PECOS PAC ID: 6103274758 Enrollment ID: I20231121001552 |
| Provider Name | Alexis Kalish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912694241 PECOS PAC ID: 4688022247 Enrollment ID: I20231121001858 |
| Provider Name | Tari Ann Allan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417934936 PECOS PAC ID: 4981052206 Enrollment ID: I20231128001232 |
| Provider Name | Monica Jean Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619582418 PECOS PAC ID: 1153779319 Enrollment ID: I20231128003006 |
| Provider Name | Iris Curry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053645077 PECOS PAC ID: 5991153843 Enrollment ID: I20231202000782 |
| Provider Name | Amanda Merkel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588118913 PECOS PAC ID: 1759730054 Enrollment ID: I20231212002810 |
| Provider Name | Richard Lewis Whitton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124326632 PECOS PAC ID: 2264883222 Enrollment ID: I20240104000937 |
| Provider Name | Alexandra Riley Servia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992497911 PECOS PAC ID: 8325499221 Enrollment ID: I20240104002682 |
| Provider Name | Eri Conklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558644468 PECOS PAC ID: 4688025596 Enrollment ID: I20240104003091 |
| Provider Name | Natalia Aviles-otero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588446199 PECOS PAC ID: 3274984109 Enrollment ID: I20240104003750 |
| Provider Name | M. M. Trzeciak-kerr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972658177 PECOS PAC ID: 3375994189 Enrollment ID: I20240105002019 |
| Provider Name | Corina M Forte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063057263 PECOS PAC ID: 9436594637 Enrollment ID: I20240227004302 |
Fullness Of Life Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 9th Ave W, Bradenton, FL 34205 Phone: 941-800-1513 | |
Clarea, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13062 Bliss Loop, Bradenton, FL 34211 Phone: 941-248-6987 Fax: 217-787-3232 | |
Orlando Maldonado, Md, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 6th Ave E, Bradenton, FL 34208 Phone: 941-749-7997 | |
Denise K. Gross, Psy.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6015 111th St E, Bradenton, FL 34211 Phone: 941-756-0292 Fax: 941-756-0161 | |
Abdul Nadeem, M.d.llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7015 Gosling Ter, Bradenton, FL 34203 Phone: 941-313-0084 | |
1st Applied Behavioral Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12907 Bliss Loop, Bradenton, FL 34211 Phone: 941-229-1029 | |
Pamela S Bowyer Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4802 26th St W Ste C, Bradenton, FL 34207 Phone: 941-752-7773 Fax: 941-752-7774 |