MEDICARE: SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1174719819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH

Provider Business Mailing Address
First Line	:	4024 CENTRAL AVE
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33711-1239
Country	:	US
Telephone Number	:	727-327-7656
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 16TH ST S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33705-2231
Country	:	US
Telephone Number	:	727-327-7656
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. BARBARA DAIRE
Credential	:	LCSW
Telephone Number	:	727-327-7656

Provider Enumeration Date	:	09/17/2007
Last Update Date	:	09/17/2007

Similar Medicare Providers

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1194659771 — MAAIKE MARIA CORTEZ
Practice Location Address:

1001 16TH ST S
SAINT PETERSBURG, FL
33705-2231

Practice Phone: 727-300-0063
Practice Fax: 727-256-0039

1881915064 — MRS. ANNETA MARIE CARTER MS
Practice Location Address:

1001 16TH ST S
ST PETERSBURG, FL
33705-2231

Practice Phone: 727-327-7656
Practice Fax: 727-896-1426

Directions to “SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.