OrganizationActive
Pediatric Behavioral Health Associates, Inc.
NPI 1174385470 · Adolescent and Children Mental Health Clinic/Center · Belleview, FL
Provider details
- NPI number
- 1174385470
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicole Woller, President(561) 706-1004
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5818 Se Agnew Rd
Belleview, FL 34420-4020
Phone: (561) 715-5910
Street-level locationGet directions
Mailing address
2735 Se 140th Pl
Summerfield, FL 34491-2877
Registry dates
- Enumerated
- 2024-01-23
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.