Provider Demographics
NPI:1912123456
Name:BAYVIEW CENTER FOR MENTAL HEALTH INC
Entity Type:Organization
Organization Name:BAYVIEW CENTER FOR MENTAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEEPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-414-8700
Mailing Address - Street 1:700 SE 3RD AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1139
Mailing Address - Country:US
Mailing Address - Phone:954-414-8700
Mailing Address - Fax:954-467-9966
Practice Address - Street 1:633 NE 167TH ST
Practice Address - Street 2:SUITE 801
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-2442
Practice Address - Country:US
Practice Address - Phone:305-892-4600
Practice Address - Fax:954-467-9966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL060279501Medicaid
FL060279513Medicaid
FL060279500Medicaid
FL060279504Medicaid
FL060279503Medicaid
FL99627Medicare PIN