Provider Demographics
NPI:1417052713
Name:BEHAVIORAL HEALTH MANAGEMENT SERVICES, INC.
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH MANAGEMENT SERVICES, INC.
Other - Org Name:BAYCARE LIFE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO, HOSPITAL DIVISION
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:TREMONTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-462-7868
Mailing Address - Street 1:PO BOX 403974
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-3974
Mailing Address - Country:US
Mailing Address - Phone:813-852-3272
Mailing Address - Fax:813-635-2613
Practice Address - Street 1:1106 DRUID RD S
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3846
Practice Address - Country:US
Practice Address - Phone:727-584-6266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QM0801X
261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAG8OtherBCBS
FL000896302Medicaid
FLX1238Medicare PIN
FLAG7OtherBCBS
FLAG9OtherBCBS
FLX1238Medicare PIN