09/11/2018 Page 1 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 01
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
Childrens Home Society
1300 N. Palafox Street Suite 103 Pensacola, FL 32501-2678 Phone: (850)266-2700 Fax: (850)595-0180 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Florida Therapy Services Inc 6425 N Pensacola Blvd Suite 1-3 Pensacola, FL 32505-1701 Phone: (850)769-6001 Fax: (850)769-6003 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
The Chrysalis Center
3250 W.Navy Blvd. Suite 120 Pensacola, FL 32505-8048 Phone: (954)587-1008 Fax: (954)587-0080 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:30PM)
Escambia Community Clinics 748 N. Highway 29
Cantonment, FL 32533-9513 Phone: (850)937-4004 Fax: (850)937-4006 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:30PM)
Escambia Community Clinics 5868 Creek Station Drive
Pensacola, FL 32504-8627 Phone: (850)478-1244 Fax: (850)471-1896 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:30PM)
Escambia Community Clinics 2510 N 12th Ave.
Pensacola, FL 32503-4604 Phone: (850)471-0508 Fax: (850)471-0510 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:30PM)
Regan Hager LMHC
4300 Bayou Blvd Suite 25B Pensacola, FL 32503-1949 Phone: (850)462-3595 Fax: (850)607-2771 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Christa Moody LMHC
435 E. Zaragoza Street
Pensacola, FL 32502 Phone: (850)261-1345 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Thu,Fri (9:00AM- 5:00PM)
Jeffrey Ray LMHC
5192 Bayou Blvd Suite 302 Pensacola, FL 32503-2102 Phone: (850)293-0702 Fax: (850)208-3224 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Frankie Sanchez LCSW
9160 Roe Street
Pensacola, FL 32514-3507 Phone: (850)207-0489 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM); Sat (8:00AM-5:00PM)
Marci Shemaria LMHC
1318 Dunmire Street Suite 3 Pensacola, FL 32504-6674 Phone: (850)477-2799 Fax: (850)477-2796 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 8:00PM); Sat (8:00AM-12:00PM)
Edna Lee Winterberry LMHC 4300 Bayou Blvd Suite 35 Pensacola, FL 32503-2671 Phone: (850)384-6283 Fax: (850)479-3891 Accepting New Members? Y More languages: Hours of Operation:
Henry Boilini MD
2191 E. Johnson Ave.
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Marguerite French MD
2191 E. Johnson Ave.
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Richard Hamilton DO
2191 E. Johnson Ave.
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Escambia County
Community Mental Health Centers
Federally Qualified Health Center
Masters Level
Psychiatrists
09/11/2018 Page 2 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 01
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
John Hayes MD Georgia Ketchum MD Cristobal Nogues MD Lakeview Center Inc
2191 E. Johnson Ave. 8391 N. Davis Highway 2191 E. Johnson Ave. 6425 North Pensacola Blvd
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Pensacola, FL 32514-6048 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation:
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Spanish Hours of Operation:
Pensacola, FL 32505 Phone: (850)453-7722 Fax: (850)469-3424 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
John Hayes MD
8391 N. Davis Highway
Pensacola, FL 32514-6048 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation:
Shabana Jaffri MD
2191 E. Johnson Ave.
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 4:00PM)
Tiya Johnson MD
2191 E. Johnson Ave.
Georgia Ketchum MD
2191 E. Johnson Ave.
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation: Mon (8:00AM-4:30PM)
Tim McGaughy MD
2191 E. Johnson Ave.
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Patricia Michel-Garrison DO 2191 E. Johnson Ave.
Thomas Myer PHD
2191 E. Johnson Ave.
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Thomas Myer PHD
8391 N. Davis Highway
Pensacola, FL 32514-6048 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lakeview Center Inc
6021 A Industrial Blvd
Century, FL 32535-3312 Phone: (850)256-6281 Fax: (850)469-3424 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lakeview Center Inc
1221 W Lakeview Ave
Pensacola, FL 32501-1857 Phone: (850)432-1222 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lakeview Center Inc
1304 West Avery Street
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Pensacola, FL 32514-6029 Phone: (850)494-3953 Fax: (850)494-3960 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:30PM)
Pensacola, FL 32501-1804 Phone: (850)469-3822 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Escambia County
Psychologists
Statewide Inpatient Psychiatric Programs
09/11/2018 Page 3 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 01
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
Bridgeway Center Inc
205 Shell Ave.
Fort Walton Beach, FL 32548 Phone: (850)833-7500 Fax: (850)833-7439 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Fort Walton Beach Medical Center 1000 Mar Walt Drive
Fort Walton Beach, FL 32547 Phone: (850)862-1111 Fax: (850)862-5276 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:30PM)
Margaret Andem ARNP
299 Railroad Ave.
Crestview, FL 32536-4053 Phone: (850)833-7500 Fax: (850)833-7439 Accepting New Members? Y More languages: Hours of Operation:
Margaret Andem ARNP
351 N. Ferdon Blvd.
Mara Fiorentino MD
4507 Furling LN Suite 110 Destin, FL 32541-5341 Phone: (850)654-0054 Fax: (850)654-0093 Accepting New Members? Y More languages: Spanish French Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 7:00PM)
Fritz Jean-Noel MD
1000 Mar Walt Drive
Bridgeway Center Inc
137 Hospital Drive NE
Fort Walton Beach, FL 32548 Phone: (850)833-7500 Fax: (850)833-7439 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Bridgeway Center Inc
299 Railroad Ave.
Crestview, FL 32536-4053 Phone: (850)833-7500 Fax: (850)833-7439 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Bridgeway Center Inc
351 N. Ferdon Blvd.
Crestview, FL 32531-2727 Phone: (850)689-7844 Fax: (850)833-7439 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Margaret Andem ARNP
137 Hospital Drive NE
Fort Walton Beach, FL 32548 Phone: (850)833-7500 Fax: (850)833-7439 Accepting New Members? Y More languages: Hours of Operation:
Margaret Andem ARNP
205 Shell Ave.
Fort Walton Beach, FL 32548 Phone: (850)833-7500 Fax: (850)833-7439 Accepting New Members? Y More languages: Hours of Operation:
Crestview, FL 32531-2727 Phone: (850)689-7844 Fax: (850)833-7439 Accepting New Members? Y More languages: Hours of Operation:
Henry Boilini MD
1000 Mar Walt Drive
Fort Walton Beach, FL 32547 Phone: (850)315-4295 Fax: (850)315-4285 Accepting New Members? Y More languages: Hours of Operation:
Benjamin Egusquiza MD
1000 Mar Walt Drive
Fort Walton Beach, FL 32547 Phone: (786)390-7757 Fax: (855)684-6631 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:00AM- 5:00PM)
Fort Walton Beach, FL 32547 Phone: (786)390-7757 Fax: (855)684-6631 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Michael Traver MD
1000 Mar Walt Drive
Fort Walton Beach, FL 32547 Phone: (786)390-7757 Fax: (855)684-6631 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gulf Coast Youth Services
1015 Mar Walt Drive
Fort Walton Beach, FL 32547 Phone: (850)863-4160 Fax: (850)863-8576 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Okaloosa County
Community Mental Health Centers
Hospitals/Clinics
Nurse Practitioners
Psychiatrists
Residential Treatment Centers
09/11/2018 Page 4 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 01
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
Brittany Paquette LMHC
5642 Jones Street
Lakeview Center Inc
4400 Hickory Shores Blvd
Florida Therapy Services Inc 6107 Highway 90
Milton, FL 32570-1732 Phone: (850)769-6001 Fax: (850)769-6003 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Milton, FL 32570-4009 Phone: (850)626-7779 Fax: (850)626-7171 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Karen Willis LMHC
5642 Jones Street
Gulf Breeze, FL 32561-9111 Phone: (850)932-9375 Fax: (850)469-3424 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Melissa Garner LMHC
5642 Jones Street
Milton, FL 32570-4009 Phone: (850)626-7779 Fax: (850)626-7171 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Milton, FL 32570-4009 Phone: (850)626-7779 Fax: (850)626-7171 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Lakeview Center Inc
5500 Stewart Street
Susan Gessler LMHC
5642 Jones Street
Milton, FL 32570-4009 Phone: (850)626-7779 Fax: (850)626-7171 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Milton, FL 32583 Phone: (850)938-5500 Fax: (850)469-3424 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lakeview Center Inc
6024 Spikes Way
Milton, FL 32583 Phone: (850)437-8900 Fax: (850)469-3424 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Santa Rosa County
Masters Level
Statewide Inpatient Psychiatric Programs
Community Mental Health Centers
09/11/2018 Page 5 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 01
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
Chautauqua Offices of Psychotherapy 3686 US Highway 331
Defuniak Springs, FL 32435 Phone: (850)894-8095 Fax: (850)951-1375 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Chautauqua Offices of Psychotherapy 12273 Emerald Coast Pkwy. Suite 206 Miramar Beach, FL 32550 Phone: (850)833-3870 Fax: (850)951-1375 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
COPE Center Inc
3686 US Highway 331
Defuniak Springs, FL 32435 Phone: (850)894-8095 Fax: (850)951-1375 Accepting New Members? Y More languages: Hours of Operation:
COPE Center Inc
12273 Emerald Coast Pkwy. Suite 206 Miramar Beach, FL 32550 Phone: (850)833-3870 Fax: (850)951-1375 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Walton County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 6 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Childrens Home Society
914 Harrison Ave.
Panama City, FL 32401-2528 Phone: (850)747-5411 Fax: (850)747-5662 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Florida Therapy Services Inc 2711 W. 15th Street
Panama City, FL 32401-1366 Phone: (850)769-6001 Fax: (850)769-6003 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Life Management Center of Northwest 525 E 15th Street
Panama City, FL 32405-5412 Phone: (850)522-4485 Fax: (851)522-4484 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Emerald Coast Behavioral Hospital 1940 Harrison Ave.
Panama City, FL 32405-4542 Phone: (850)763-0017 Fax: (850)785-0580 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Marvin Porter LMHC
1011 Grace Ave
Panama City, FL 32401-2494 Phone: (850)784-7888 Fax: (850)387-1447 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:00AM- 5:00PM); Sat (7:00AM-3:00PM); Sun (1:00PM-4:00PM)
Joel Prather LMHC
12133 Panama City Beach Pk
Panama City Beach, FL 32407 Phone: (850)249-9636 Fax: (850)249-9635 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
Willowdean Tiller LMHC
Margaret Andem ARNP
2711 W. 15th Street
Panama City, FL 32401-1366 Phone: (850)769-6001 Fax: (850)769-6003 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Cara Wheeler PSYD
12133 Panama City Beach Pk
Panama City Beach, FL 32407 Phone: (850)249-9636 Fax: (850)249-9635 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
801 Jenks Ave Suite C Panama City, FL 32401 Phone: (850)640-1020 Fax: (850)640-1022 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Bay County
Community Mental Health Centers
Nurse Practitioners
Masters Level
Psychologists
Hospitals/Clinics
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 7 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Life Management Center of Northwest 16869 NE Pear Street
Blowntstown, FL 32424-1774 Phone: (850)522-4485 Fax: (851)522-4484 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Calhoun County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 8 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Apalachee Center
159 12th Street
Apalachicola, FL 32320-2110 Phone: (850)653-9744 Fax: (850)653-9548 Accepting New Members? Y More languages: Hours of Operation:
Coastal Rehabilitation and Treatmen 192 Coach Wagoner Blvd
Apalachicola, FL 32320 Phone: (850)566-0037 Fax: (850)697-3891 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Franklin County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 9 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Apalachee Center
79 LaSalle Path
Quincy, FL 32351-5286 Phone: (850)875-2422 Fax: (850)875-2124 Accepting New Members? Y More languages: Hours of Operation:
Disc Village Inc.
305B Crawford Street
Quincy, FL 32351-3121 Phone: (850)575-4388 Fax: (850)576-3317 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Latoya Boyd LMHC
11 S. Calhoun Street
Quincy, FL 32351-3170 Phone: (850)627-6220 Fax: (850)627-6229 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Gadsden County
Community Mental Health Centers
Masters Level
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 10 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Life Management Center of Northwest 311 Williams Ave
Port St Joe, FL 32456-1845 Phone: (850)522-4485 Fax: (851)522-4484 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gulf County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 11 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Life Management Center of Northwest 310 E Byrd Ave
Bonifay, FL 32425-2109 Phone: (850)522-4485 Fax: (851)522-4484 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Holmes County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 12 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Families First of Florida LLC 4440 Lafayette Street Suite K Marianna, FL 33634-6310 Phone: (813)290-8560 Fax: (850)290-7442 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Florida Therapy Services Inc 2944 Pennsylvania Ave Suite L Marianna, FL 32448-2741 Phone: (850)769-6001 Fax: (850)769-6003 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Life Management Center of Northwest 4094 W Lafayette Street
Marianna, FL 32446-5648 Phone: (850)522-4485 Fax: (851)522-4484 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jason Tucker LMHC
4440 Lafayette Street Suite K Marianna, FL 33634-6310 Phone: (813)290-8560 Fax: (850)290-7442 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Margaret Andem ARNP
4396 La Fayette Street Suite 209 Marianna, FL 32446 Phone: (850)573-2233 Fax: (850)482-2079 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Margaret Andem ARNP
2944 Pennsylvania Ave Suite L Marianna, FL 32448-2741 Phone: (850)769-6001 Fax: (850)769-6003 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
John Strunk MD
4428 Lafayette Street
Mariana, FL 32447-5728 Phone: (850)482-4177 Fax: (850)482-4178 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Jackson County
Community Mental Health Centers
Nurse Practitioners
Masters Level Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 13 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Apalachee Center
19996 S. Jeffreson Street
Monticello, FL 32344-5100 Phone: (850)997-3958 Fax: (850)997-0983 Accepting New Members? Y More languages: Hours of Operation:
Jefferson County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 14 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Apalachee Center
2634-B Capital Circle NE
Tallahassee, FL 32308 Phone: (850)523-3303 Fax: (850)523-3411 Accepting New Members? Y More languages: Hours of Operation:
Bethel Family Counseling Center 471 W. Tennessee Street
Tallahassee, FL 32301-1025 Phone: (850)577-1780 Fax: (850)871-7792 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:30PM); Sat (9:00AM-2:00PM)
Camelot Community Care Inc 1000 W. Tharpe Street Suite 7 Tallahassee, FL 32303-5300 Phone: (850)561-8060 Fax: (850)561-1143 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Childrens Home Society
1801 Miccosukee Commons
Tallahassee, FL 32308-5433 Phone: (850)921-0772 Fax: (850)921-0726 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Disc Village Inc.
1000 W Tharpe Street Suite 16 Tallahassee, FL 32303-5311 Phone: (850)575-4388 Fax: (850)576-3317 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Disc Village Inc.
603 N. Martin Luther King Jr
Tallahassee, FL 32301-1096 Phone: (850)575-4388 Fax: (850)576-3317 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Disc Village Inc.
3333 West Pensacola Street Suite 330 Tallahassee, FL 32304-2888 Phone: (850)575-4388 Fax: (850)576-3317 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 5:00PM)
Families First of Florida LLC 2365 Centerville Road Suite R5 Tallahassee, FL 32308-4317 Phone: (813)290-8560 Fax: (850)290-7442 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Florida Therapy Services Inc 1834-A Jaclif Court
Tallahassee, FL 32308-4400 Phone: (850)769-6001 Fax: (850)769-6003 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Healing Transitions Creative 322 McDaniel Street
Tallahassee, FL 32303-6249 Phone: (850)877-4228 Fax: (888)700-6760 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 7:00PM); Sat (10:00AM-2:00PM)
Playbig Therapy & Recreation Zone 4500 W. Shannon Lakes Driv Suite 3 Tallahassee, FL 32309-2240 Phone: (850)942-2000 Fax: (850)942-2003 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Capital Regional Medical Center 2626 Capital Medical Blvd
Tallahassee, FL 32308-4402 Phone: (850)325-5000 Fax: (850)325-5198 Accepting New Members? Y More languages: Spanish Hours of Operation:
Tracy Bane LCSW
3201 Shamrock Street S. Suite 103 Tallahassee, FL 32309-3349 Phone: (850)665-2482 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
Bonnie Campbell LMHC
1105 Hays Street
Tallahassee, FL 32301-2632 Phone: (850)559-6082 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:00PM)
Cecile Carter LCSW
1801 Miccosukee Commons
Tallahassee, FL 32308-5433 Phone: (850)921-0772 Fax: (850)921-0726 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Cecile Carter LCSW
1931 Welby Way Suite 5 Tallahassee, FL 32308-4473 Phone: (850)443-3902 Fax: (850)290-7450 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Leon County
Community Mental Health Centers
Hospitals/Clinics
Masters Level
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 15 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Arthur Cleveland LCSW Glenn Graves LCSW Jouasha Lang LCSW Elizabeth North LCSW
1115 N Gadsden Street
Tallahassee, FL 32303 Phone: (850)222-1447 Fax: (850)222-1442 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
2365 Centerville Road Suite R5 Tallahassee, FL 32308-4317 Phone: (813)290-8560 Fax: (850)290-7442 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1106-F Thomasville Road
Tallahassee, FL 32303 Phone: (850)665-0027 Fax: (850)792-6084 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00PM- 7:00PM)
322 McDaniel Street
Tallahassee, FL 32303-6249 Phone: (850)877-4228 Fax: (888)700-6760 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 7:00PM); Sat (10:00AM-2:00PM)
Susan Ellis LCSW Glenn Graves LCSW Jouasha Lang LCSW Elizabeth North LCSW
1931 Welby Way
Tallahassee, FL 32308 Phone: (850)363-3382 Fax: (850)531-0380 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
322 McDaniel Street
Tallahassee, FL 32303-6249 Phone: (850)877-4228 Fax: (888)700-6760 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 7:00PM); Sat (10:00AM-2:00PM)
1000 W. Tharpe Street Suite 7 Tallahassee, FL 32303-5300 Phone: (850)561-8060 Fax: (850)561-1143 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
1310 Cross Creek Cir Suite A Tallahassee, FL 32301-8063 Phone: (301)848-8158 Fax: (301)848-8158 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (7:00AM-7:00PM)
Cindy Evers LCSW Beth Hicks LCSW Lisa Lulofs LCSW Robert Osborne LCSW
2390 Phillips Rd
Tallahassee, FL 32308-5326 Phone: (850)487-2604 Fax: (850)270-1436 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 5:00PM)
1931 Welby Way Suite 5 Tallahassee, FL 32308 Phone: (850)212-3404 Fax: (888)866-4926 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (11:00AM- 8:00PM)
2390 Phillips Road
Tallahassee, FL 32308-5326 Phone: (850)402-0606 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:30PM)
4500 W. Shannon Lakes Driv Suite 3 Tallahassee, FL 32309-2240 Phone: (850)942-2000 Fax: (850)942-2003 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Glenn Graves LCSW Jouasha Lang LCSW Elizabeth North LCSW Robert Osborne LCSW
1310 Cross Creek Cir Suite A Tallahassee, FL 32301-8063 Phone: (301)848-8158 Fax: (301)848-8158 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (7:00AM-7:00PM)
1290 Cedar Center Drive
Tallahassee, FL 32301-4876 Phone: (850)665-0027 Fax: (850)792-6084 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (11:00AM- 7:00PM); Sat (10:00AM-4:00PM)
1325 Mahan Drive
Tallahassee, FL 32308 Phone: (303)519-9517 Fax: (850)807-5005 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Thu,Fri (8:30AM- 4:30PM); Sat (8:30AM-1:00PM)
1018 Thomasville Rd 106 Tallahassee, FL 32303-6271 Phone: (850)322-7858 Fax: (850)344-9092 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Thu (9:00AM-7:00PM); Fri (9:00AM-6:00PM)
Leon County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 16 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Gita Patel-Steingart LMHC 12005 Otter Creek Trail
Tallahassee, FL 32312-4117 Phone: (850)933-3887 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (9:00AM-6:00PM)
DeShea Sandles LCSW
1990 Village Green Way Suite 3 Tallahassee, FL 32308-3877 Phone: (850)999-2140 Fax: (850)999-2150 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 7:00PM); Sat (11:00AM-4:00PM)
Jason Tucker LMHC
322 McDaniel Street
Tallahassee, FL 32303-6249 Phone: (850)877-4228 Fax: (888)700-6760 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 7:00PM); Sat (10:00AM-2:00PM)
Martha Wisbey LCSW
1965 Capital Circle NE Suite 102 Tallahassee, FL 32308-8402 Phone: (850)671-4600 Fax: (850)878-2863 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Paul Peavy LMHC David Steingart LCSW Jason Tucker LMHC Nancy Witter LMHC
1000 W. Tharpe Street Suite 7 Tallahassee, FL 32303-5300 Phone: (850)561-8060 Fax: (850)561-1143 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
2940 E. Park Ave Suite 1 B Tallahassee, FL 32301-3448 Phone: (850)296-8046 Fax: (866)803-3887 Accepting New Members? Y More languages: Hours of Operation: Sun (1:00PM-4:00PM)
2365 Centerville Road Suite R5 Tallahassee, FL 32308-4317 Phone: (813)290-8560 Fax: (850)290-7442 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
1310 Cross Creek Cir Suite A Tallahassee, FL 32301-8063 Phone: (301)848-8158 Fax: (301)848-8158 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (7:00AM-7:00PM)
Paul Peavy LMHC
1678 Copperfield Circle
Tallahassee, FL 32312-3791 Phone: (850)264-5033 Fax: (850)597-8613 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Erik Persson LCSW
2390 Phillips Road
Tallahassee, FL 32308 Phone: (850)810-5085 Fax: (850)254-7818 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Tolonda Tate LMHC
471 W. Tennessee Street
Tallahassee, FL 32301-1025 Phone: (850)577-1780 Fax: (850)871-7792 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:30PM); Sat (9:00AM-2:00PM)
Tolonda Tate LMHC
2355 Centerville Road Suite 12691 Tallahassee, FL 32308-4317 Phone: (850)661-4927 Fax: (850)727-0541 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Daria Wells LCSW
1990 Village Green Way Suite 3 Tallahassee, FL 32308-3877 Phone: (850)999-2140 Fax: (850)999-2150 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (9:00AM-7:00PM)
Colleen Williams LCSW
2888 Mahan Drive
Tallahassee, FL 32308-5464 Phone: (850)545-2993 Fax: (850)627-4328 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Norine Labitzke ARNP
1018 Thomasville Road Suite 106 Tallahassee, FL 32303-6271 Phone: (850)765-0042 Fax: (844)229-5873 Accepting New Members? Y More languages: Hours of Operation: Mon,Thu,Fri (9:00AM-5:00PM); Tue (9:00AM-12:00PM)
Leon County
Nurse Practitioners
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 17 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Umesh Mhatre MD
3333 West Pensacola Street Suite 330 Tallahassee, FL 32304-2888 Phone: (850)575-4388 Fax: (850)576-3317 Accepting New Members? Y More languages: Hindi Hours of Operation:
Umesh Mhatre MD
1834-A Jaclif Court
Tallahassee, FL 32308-4400 Phone: (850)769-6001 Fax: (850)769-6003 Accepting New Members? Y More languages: Hindi Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Boys Town North Florida
3555 Commonwealth Blvd
Tallahassee, FL 32303-3119 Phone: (850)525-6422 Fax: (850)575-7225 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:30PM)
Leon County
Targeted Case Management
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 18 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Heather Summers LMHC
12729 NW Twin Oaks Drive
Apalachee Center
13888 NW County Road 12
Bristol, FL 32321-3270 Phone: (850)643-2232 Fax: (850)643-5657 Accepting New Members? Y More languages: Hours of Operation:
Bristol, FL 32321 Phone: (850)447-5256 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jason Tucker LMHC
10611 NW SR 20
Community Wellness Counseling & Sup 10611 NW SR 20
Bristol, FL 32321-1704 Phone: (850)643-7724 Fax: (850)643-5066 Accepting New Members? Y More languages: Hours of Operation:
Bristol, FL 32321-1704 Phone: (850)643-7724 Fax: (850)643-5066 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Glenn Graves LCSW
10611 NW SR 20
Bristol, FL 32321-1704 Phone: (850)643-7724 Fax: (850)643-5066 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Liberty County
Masters Level
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 19 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Apalachee Center
225 Sumatra Road
Madison, FL 32340-1454 Phone: (850)973-5124 Fax: (850)973-5128 Accepting New Members? Y More languages: Hours of Operation:
Madison County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 20 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Apalachee Center
1421 S. Dixie Highway
Perry, FL 32348-5849 Phone: (352)584-5613 Fax: (850)584-5687 Accepting New Members? Y More languages: Hours of Operation:
Disc Village Inc.
142 S. Dixie Highway
Perry, FL 32348-5849 Phone: (850)575-4388 Fax: (850)576-3317 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Taylor County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 21 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 02
Sven Coetzee LMHC
551 Seminole Lane
Apalachee Center
43 Oak Street
Crawfordvile, FL 32327-2090 Phone: (850)926-5900 Fax: (850)926-2932 Accepting New Members? Y More languages: Hours of Operation:
Sopchoppy, FL 32358-0840 Phone: (850)524-2095 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00AM)
Sabrina Joiner LCSW
2140 Crawfordville Highway
Coastal Rehabilitation and Treatmen 3295 Crawfordville Highway
Crawfordville, FL 32327 Phone: (850)566-0037 Fax: (850)697-3891 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Crawfordville, FL 32327 Phone: (850)926-1900 Fax: (850)926-1930 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:30AM- 5:30PM)
Disc Village Inc.
85 High Drive
Crawfordville, FL 32327-2032 Phone: (850)575-4388 Fax: (850)576-3317 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Wakulla County
Masters Level
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 22 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Shands at Vista Hospital Genevieve Camp LMHC Carol Lewis LCSW
Camelot Community Care Inc 7731 W. Newberry Road Suite 1A Gainesville, FL 32606-9246 Phone: (850)889-4034 Fax: (850)561-1143 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Childrens Home Society
249 University Ave. Suite B Gainesville, FL 32601-5343 Phone: (352)334-0304 Fax: (321)397-3016 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Sinfonia Family Services of Florida 17 NW 33rd Court
Gainesville, FL 32607-2552 Phone: (352)505-3534 Fax: (352)505-5037 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
4101 NW 89th Blvd
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Genevieve Camp LMHC
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Genevieve Camp LMHC
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Genevieve Camp LMHC
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Genevieve Camp LMHC
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Raquel Concepcion LMHC
250 NW 76th Drive
Gainesville, FL 32607-6668 Phone: (352)505-6363 Fax: (866)215-3205 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Kevin Goolsby LMHC
7731 W. Newberry Road Suite 1A Gainesville, FL 32606-9246 Phone: (850)889-4034 Fax: (850)561-1143 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr. 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-4357 Accepting New Members? Y More languages: Hours of Operation:
Carol Lewis LCSW
3850 NW 83rd Street Suite 201 Gainesville, FL 32606-5601 Phone: (352)265-5492 Fax: (352)265-5495 Accepting New Members? Y More languages: Hours of Operation:
Carol Lewis LCSW
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Carol Lewis LCSW
4101 NW 89th Blvd
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: Accepting New Members? Y More languages: Hours of Operation:
Alachua County
Hospitals/Clinics
Masters Level
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 23 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Virginia Linder LMHC Michael Nias LCSW Thomas Ward LCSW Kristine Heenk ARNP
3850 NW 83rd Street Suite 201 Gainesville, FL 32606-5601 Phone: (352)265-5492 Fax: (352)265-5495 Accepting New Members? Y More languages: Hours of Operation:
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1707 N. Main Street
Gainesville, FL 32609-3650 Phone: (352)265-7001 Fax: (352)265-9575 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Virginia Linder LMHC Michael Nias LCSW Jennifer Yurko LCSW Kristine Heenk ARNP
4101 NW 89th Blvd 4101 NW 89th Blvd. 1600 SW Archer Road 4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: Accepting New Members? Y More languages: Hours of Operation:
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation:
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Michael Nias LCSW
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Michael Nias LCSW
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Michael Nias LCSW
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Heather Simpson LCSW
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)273-5768 Fax: (352)273-5683 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Kristine Heenk ARNP
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Kristine Heenk ARNP
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Kristine Heenk ARNP
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Susan Hill ARNP
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
Nurse Practitioners
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 24 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Michaela Hogan ARNP
4037 NW 86th Terr. 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-4357 Accepting New Members? Y More languages: Hours of Operation:
Karen Rye ARNP
3190 Radio Rd.
Gainesville, FL 32611-2662 Phone: (352)273-4550 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Kimberly Teitelbaum ARNP Human Development Center Health Science Center, Rm G Gainesville, FL 32610-0001 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Rizan Yozgat ARNP
280 Fletcher Drive
Gainesville, FL 32611-2038 Phone: (352)392-1161 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Nicole Karcinski ARNP
3190 Radio Rd.
Karen Rye ARNP
280 Fletcher Drive
Kimberly Teitelbaum ARNP 1600 SW Archer Road
Rizan Yozgat ARNP
3190 Radio Rd.
Gainesville, FL 32611-2662 Phone: (352)273-4550 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32611-2038 Phone: (352)392-1161 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32611-2662 Phone: (352)273-4550 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Nicole Karcinski ARNP
280 Fletcher Drive
Gainesville, FL 32611-2038 Phone: (352)392-1161 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Shannon Large ARNP
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation:
Rachelle Sansing ARNP
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation:
Kimberly Teitelbaum ARNP 4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Kimberly Teitelbaum ARNP 8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Kimberly Teitelbaum ARNP 4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jorge Avila MD
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jorge Avila MD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Alachua County
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 25 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Jorge Avila MD Adrian Blotner MD Jody Brown MD Jody Brown MD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Human Development Center Health Science Center, Rm G Gainesville, FL 32610-0001 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jorge Avila MD Adrian Blotner MD Jody Brown MD Martha Brown MD
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr. 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-4357 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jorge Avila MD Adrian Blotner MD Jody Brown MD Martha Brown MD
4101 NW 89th Blvd. 8491 NW 39th Ave. 4101 NW 89th Blvd. 8491 NW 39th Ave.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Adrian Blotner MD Jody Brown MD Jody Brown MD Martha Brown MD
1600 SW Archer Road 8491 NW 39th Ave. 1600 SW Archer Road 1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 26 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Dawn-Christi Bruijnzeel MD 1600 SW Archer Road
Hong Chen MD
8491 NW 39th Ave.
Brian Cooke MD
8491 NW 39th Ave.
Richard D'Alli MD
8491 NW 39th Ave.
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Regina Bussing MD Hong Chen MD Brian Cooke MD Richard D'Alli MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
3190 Radio Rd.
Gainesville, FL 32611-2662 Phone: (352)273-4550 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Brent Carr MD Hong Chen MD Brian Cooke MD Richard D'Alli MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
280 Fletcher Drive
Gainesville, FL 32611-2038 Phone: (352)392-1161 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1699 SW 16th Ave.
Gainesville, FL 32608-1158 Phone: (352)334-0206 Fax: (352)334-4041 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Hong Chen MD Hong Chen MD Wayne Creelman MD Richard D'Alli MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 27 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Richard D'Alli MD Erik Gooch DO Erik Gooch DO Michael Gower MD
4101 NW 89th Blvd. 8491 NW 39th Ave. 280 Fletcher Drive 8491 NW 39th Ave.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32611-2038 Phone: (352)392-1161 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Richard D'Alli MD Erik Gooch DO Michael Gower MD William Greene MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Joel Fernandes MD Erik Gooch DO Michael Gower MD William Greene MD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
3190 Radio Rd.
Gainesville, FL 32611-2662 Phone: (352)273-4550 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Joel Fernandes MD Erik Gooch DO Michael Gower MD William Greene MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 28 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Jacqueline Hobbs MD Richard Holbert MD William Hollifield MD Isaac Isaac MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Human Development Center Health Science Center, Rm G Gainesville, FL 32610-0001 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jacqueline Hobbs MD William Hollifield MD William Hollifield MD Isaac Isaac MD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Human Development Center Health Science Center, Rm G Gainesville, FL 32610-0001 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jon Hodgin MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
William Hollifield MD
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Isaac Isaac MD
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Michelle Jacobs-Elliot MD 3190 Radio Rd.
Gainesville, FL 32611-2662 Phone: (352)273-4550 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Richard Holbert MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
William Hollifield MD
4037 NW 86th Terr. 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-4357 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Isaac Isaac MD
280 Fletcher Drive
Gainesville, FL 32611-2038 Phone: (352)392-1161 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Michelle Jacobs-Elliot MD 280 Fletcher Drive
Gainesville, FL 32611-2038 Phone: (352)392-1161 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 29 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Michael Jaffee MD Khurshid Khurshid MD Khurshid Khurshid MD Tessy Korah MD
3450 Hull Road 8491 NW 39th Ave. 4001 SW 13th Street 4001 SW 13th Street
Gainesville, FL 32607-4144 Phone: (352)273-5400 Fax: (352)273-5575 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Michael Jaffee MD Khurshid Khurshid MD Tessy Korah MD Daniel Logan MD
2000 SW Archer Road
Gainesville, FL 32608-1136 Phone: (352)265-8408 Fax: (352)265-8235 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Human Development Center Health Science Center, Rm G Gainesville, FL 32610-0001 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gary Kanter MD Khurshid Khurshid MD Tessy Korah MD Daniel Logan MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation:
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Khurshid Khurshid MD Khurshid Khurshid MD Tessy Korah MD Daniel Logan MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4740 NW 39th Place Suite C Gainesville, FL 32606-7226 Phone: (352)273-5550 Fax: (352)273-5575 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr. 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-4357 Accepting New Members? Y More languages: Hours of Operation:
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 30 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Daniel Logan MD Carol Mathews MD Marcia Morris MD Matthew Nguyen MD
8491 NW 39th Ave. 1600 SW Archer Road 3190 Radio Rd. 8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32611-2662 Phone: (352)273-4550 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Carol Mathews MD Carol Mathews MD Marcia Morris MD Matthew Nguyen MD
4101 NW 89th Blvd. 4001 SW 13th Street 280 Fletcher Drive 4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32611-2038 Phone: (352)392-1161 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Carol Mathews MD Ross McElroy MD Kishan Nallapula MD Matthew Nguyen MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation:
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Carol Mathews MD Yazdanpanah Mehdi MD Kishan Nallapula MD Matthew Nguyen MD
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
249 University Ave. Suite B Gainesville, FL 32601-5343 Phone: (352)334-0304 Fax: (321)397-3016 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 31 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Javier Prado MD Mariam Rahmani MD Mariam Rahmani MD Babu Rankupalli MD
17 NW 33rd Court
Gainesville, FL 32607-2552 Phone: (352)505-3534 Fax: (352)505-5037 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
7731 W. Newberry Road Suite 1A Gainesville, FL 32606-9246 Phone: (850)889-4034 Fax: (850)561-1143 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Andres Pumariega MD Mariam Rahmani MD Babu Rankupalli MD Babu Rankupalli MD
8491 NW 39th Ave. 4101 NW 89th Blvd. 8491 NW 39th Ave. 1600 SW Archer Road
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Andres Pumariega MD Mariam Rahmani MD Babu Rankupalli MD Nikhil Rao MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation:
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Mariam Rahmani MD Mariam Rahmani MD Babu Rankupalli MD Nikhil Rao MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation:
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 32 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Mahdi Razafsha MD Gary Reisfield MD Julie Rodriguez MD Julie Rodriguez MD
1600 SW Archer Road 4001 SW 13th Street 4001 SW 13th Street 8491 NW 39th Ave.
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Mahdi Razafsha MD Gary Reisfield MD Julie Rodriguez MD Leonardo Rodriguez MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
3190 Radio Rd.
Gainesville, FL 32611-2662 Phone: (352)273-4550 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Mahdi Razafsha MD Gary Reisfield MD Julie Rodriguez MD Leonardo Rodriguez MD
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
280 Fletcher Drive
Gainesville, FL 32611-2038 Phone: (352)392-1161 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Mahdi Razafsha MD
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Julie Rodriguez MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Julie Rodriguez MD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Laura Rodriguez-Roman MD 4037 NW 86th Terr. 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-4357 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 33 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Dikea Roussos-Ross MD Michael Shapiro MD Michael Shapiro MD Michael Shapiro MD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4037 NW 86th Terr. 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-4357 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation:
5950 NW 1st Place Suite A Gainesville, FL 32607 Phone: (352)244-1500 Fax: (352)375-6402 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Dikea Roussos-Ross MD Michael Shapiro MD Michael Shapiro MD Michael Shapiro MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Human Development Center Health Science Center, Rm G Gainesville, FL 32610-0001 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
5950 NW 1st Place Suite A Gainesville, FL 32607-6061 Phone: (352)244-1500 Fax: (352)244-1632 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Dikea Roussos-Ross MD Michael Shapiro MD Michael Shapiro MD Jamie Smolen MD
280 Fletcher Drive
Gainesville, FL 32611-2038 Phone: (352)392-1161 Fax: (352)392-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Dikea Roussos-Ross MD Michael Shapiro MD Michael Shapiro MD Jamie Smolen MD
2000 SW Archer Road
Gainesville, FL 32608-1136 Phone: (352)265-8200 Fax: (352)265-8202 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4740 NW 39th Place Suite C Gainesville, FL 32606-7226 Phone: (352)273-5550 Fax: (352)273-5575 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 34 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Jamie Smolen MD Natalie Snodgrass MD Natalie Snodgrass MD Louis Solomon MD
4001 SW 13th Street 8491 NW 39th Ave. 1600 SW Archer Road 8491 NW 39th Ave.
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jamie Smolen MD Natalie Snodgrass MD Louis Solomon MD Uma Suryadevara MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jamie Smolen MD Natalie Snodgrass MD Louis Solomon MD Uma Suryadevara MD
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jamie Smolen MD Natalie Snodgrass MD Louis Solomon MD Uma Suryadevara MD
Human Development Center Health Science Center, Rm G Gainesville, FL 32610-0001 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 35 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Uma Suryadevara MD Scott Teitelbaum MD Joe Thornton MD Ana Turner MD
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Rajiv Tandon MD Joe Thornton MD Daniel Tucker MD Ana Turner MD
1600 SW Archer Road 8491 NW 39th Ave. 8491 NW 39th Ave. 4001 SW 13th Street
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Rajiv Tandon MD Joe Thornton MD Daniel Tucker MD Ana Turner MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Scott Teitelbaum MD Joe Thornton MD Ana Turner MD Herbert Ward MD
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 36 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Herbert Ward MD Stephen Welch MD Stephen Welch MD Russell Bauer PHD
3450 Hull Road 8491 NW 39th Ave. 4101 NW 89th Blvd. 1600 SW Archer Road
Gainesville, FL 32607-4144 Phone: (352)273-5400 Fax: (352)273-5575 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Herbert Ward MD Stephen Welch MD William Yvorchuk MD Krystal Bittar PSYD
8491 NW 39th Ave. 1600 SW Archer Road 8491 NW 39th Ave. 1699 SW 16th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32608-1158 Phone: (352)334-0206 Fax: (352)334-4041 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Michael Ware MD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Michael Ware MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Stephen Welch MD
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Stephen Welch MD
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Stephen Anton PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Glenn Ashkanazi PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Dawn Bowers PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Felicia Brown PSYD
250 NW 76th Drive
Gainesville, FL 32607-6668 Phone: (352)505-6363 Fax: (866)215-3205 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Alachua County
Psychologists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 37 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Charles Byrd PHD Ronald Cohen PHD Matthew Daley PHD Reesa Donnelly PHD
200 SW 62nd Blvd. Suite D Gainesville, FL 32607-2067 Phone: (352)265-9475 Fax: (352)265-9476 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
250 NW 76th Drive
Gainesville, FL 32607-6668 Phone: (352)505-6363 Fax: (866)215-3205 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Erika Cascio PHD Ronald Cohen PHD Matthew Daley PHD Vonetta Dotson PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr. 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-4357 Accepting New Members? Y More languages: Hours of Operation:
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lisa Clifford PHD Ronald Cohen PHD Susan Davis PHD Patricia Durning PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
2004 Mowry Road 1st Floor Gainesville, FL 32610-3010 Phone: (352)265-0615 Fax: (352)265-8296 Accepting New Members? Y More languages: Hours of Operation: Mon (12:00PM-5:00PM)
4881 NW 8th Ave. Suite 2 Gainesville, FL 32605-4582 Phone: (352)332-9441 Fax: (352)224-2216 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
4037 NW 86th Terr.
Gainesville, FL 32606-9277 Phone: (352)265-6200 Fax: (352)265-0281 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Ronald Cohen PHD Ronald Cohen PHD Duane Dede PHD Patricia Durning PHD
4001 SW 13th Street 4101 NW 89th Blvd. 1600 SW Archer Road 1600 SW Archer Road
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 38 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Julie Ellis PHD Cindi Flores PHD Peter Gold PSYD Lisa Greene PHD
250 NW 76th Drive 4001 SW 13th Street 4001 SW 13th Street 4001 SW 13th Street
Gainesville, FL 32607-6668 Phone: (352)505-6363 Fax: (866)215-3205 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
David Fedele PHD Gary Geffken PHD Peter Gold PSYD Lisa Greene PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jennifer Fisher PHD Gary Geffken PHD Lisa Greene PHD Robert Guenther PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Cindi Flores PHD Gary Geffken PHD Lisa Greene PHD Shelley Heaton PHD
8491 NW 39th Ave. 1600 SW Archer Road 1600 SW Archer Road 1600 SW Archer Road
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 39 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
David Janicke PHD Lisa King PHD Joseph McNamara PHD Melissa Munson PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation:
Land Jennifer PHD Shellie-Anne Levy PHD Joseph McNamara PHD Melanie Nelson PHD
1707 N. Main Street
Gainesville, FL 32609-3650 Phone: (352)265-7001 Fax: (352)265-9575 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8491 NW 39th Ave.
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Land Jennifer PHD Bernie Marrero PHD Kristin Moffett PHD Melanie Nelson PHD
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4881 NW 8th Ave. Suite 2 Gainesville, FL 32605-4582 Phone: (352)332-9441 Fax: (352)224-2216 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Cynthia Johnson PHD Joseph McNamara PHD Melissa Munson PHD Melanie Nelson PHD
1600 SW Archer Road 8491 NW 39th Ave. 8491 NW 39th Ave. 4101 NW 89th Blvd.
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 40 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Melanie Nelson PHD Brian Olsen PHD Benjamin Phalin PHD Benjamin Phalin PHD
4001 SW 13th Street
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
4037 NW 86th Terr 3rd Floor Gainesville, FL 32606-9277 Phone: (352)265-4357 Fax: (352)265-7053 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4101 NW 89th Blvd.
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: (352)265-5425 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Melanie Nelson PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0535 Fax: (352)265-0328 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Jessica Payne-Murphy PHD 4740 NW 39th Place Suite C Gainesville, FL 32606-7226 Phone: (352)273-5550 Fax: (352)273-5575 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Benjamin Phalin PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)392-3611 Fax: (352)392-3614 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Catherine Price PHD
1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Brian Olsen PHD Deidre Pereira PHD Benjamin Phalin PHD Catherine Price PHD
4001 SW 13th Street 1600 SW Archer Road 8491 NW 39th Ave. 1600 SW Archer Rd.
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-1234 Fax: (352)338-9880 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Brian Olsen PHD William Perlstein PHD Benjamin Phalin PHD Catherine Price PHD
8491 NW 39th Ave. 1600 SW Archer Road 4001 SW 13th Street 3450 Hull Road
Gainesville, FL 32606-5635 Phone: (352)265-5404 Fax: (352)376-6270 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32608-3513 Phone: (352)265-4372 Fax: (352)265-5515 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32607-4144 Phone: (352)265-1234 Fax: (352)273-7388 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 41 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Krestin Radonovich PHD Lori Waxenberg PHD
1600 SW Archer Road 1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Ronald Rozensky PHD Nicole Whitehead PHD
1600 SW Archer Road 1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Glenn Smith PHD Brenda Wiens PHD
1600 SW Archer Road 1600 SW Archer Road
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Tamara Warner PHD John Williamson PHD
4101 NW 89th Blvd 1600 SW Archer Road
Gainesville, FL 32606-3813 Phone: (352)265-5424 Fax: Accepting New Members? Y More languages: Hours of Operation:
Gainesville, FL 32610-3003 Phone: (352)265-0294 Fax: (352)265-0096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alachua County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 42 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Matthew Nguyen MD
405 Georgia St
Starke, FL 32091-1870 Phone: (904)964-1540 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Bradford County
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 43 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Daniel Hoffman LCSW
116 NE 5th Street
Parmanand Gurnani MD
3787 E. Gulf to Lake Highway
The Centers Inc
3238 S. Lecanto Highway
Lecanto, FL 34461-9025 Phone: (352)291-5555 Fax: (352)291-5563 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Crystal River, FL 34429-4150 Phone: (352)228-4969 Fax: (352)228-8901 Accepting New Members? Y More languages: Hours of Operation: Tue,Wed,Thu (10:00AM-4:00PM)
Laurie Keefe-Cecere LCSW 8163 S. Florida Ave
Inverness, FL 34453-3204 Phone: (352)726-3950 Fax: (352)726-7582 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Sonal Parikh MD
5596 W. Norvell Bryant High
Rose Bascos LCSW
116 NE 5th Street
Crystal River, FL 34429-4150 Phone: (352)228-4969 Fax: (352)228-8901 Accepting New Members? Y More languages: Hours of Operation: Tue,Thu (8:00AM-12:00PM)
Donald Fedor LMHC
3565 E Suzie Lane
Inverness, FL 34452 Phone: (352)344-4497 Fax: (352)344-0003 Accepting New Members? Y More languages: Hours of Operation:
Floral City, FL 34436-3101 Phone: (352)341-2551 Fax: Accepting New Members? Y More languages: Hours of Operation:
Deborah Lyublanovits LMHC 116 NE 5th Street
Crystal River, FL 34429-4150 Phone: (352)228-4969 Fax: (352)228-8901 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Deborah Martin LCSW
708 NE 6th Street
Crystal River, FL 34428-3704 Phone: (352)228-4969 Fax: (352)228-8901 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM); Sat (10:00AM- 5:00PM); Sun (11:00AM-8:00PM)
Crystal River, FL 34429-7572 Phone: (352)795-6999 Fax: (352)795-0154 Accepting New Members? Y More languages: Hindi Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Citrus County
Masters Level
Psychiatrists
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 44 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Helping Hands Inspire Happy Hearts 260 South Marion Ave Bldg C Lake City, FL 32025-7030 Phone: (904)712-3540 Fax: (904)775-3570 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Resolutions Health Alliance PA 297 NW Hillsboro Street
Lake City, FL 32055 Phone: (386)754-9005 Fax: (386)754-9017 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Resolutions Health Alliance PA 1344 SE Baya Drive
Lake City, FL 32025-4888 Phone: (386)754-9005 Fax: (386)754-9017 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Janet Kuykendall LMHC
248 N. Marion Ave. Suite 102 Lake City, FL 32055-2804 Phone: (386)365-0885 Fax: (386)401-2415 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (2:00PM- 8:00PM); Sat (10:00AM-3:00PM)
Umesh Mhatre MD
165 SW Vision Glenn
Lake City, FL 32025-1111 Phone: (386)755-1800 Fax: (386)758-8770 Accepting New Members? Y More languages: Hindi Hours of Operation: Mon (8:00AM-8:00PM); Tue,Wed,Thu,Fri (8:00AM- 3:00PM)
Umesh Mhatre MD
260 South Marion Ave Bldg C Lake City, FL 32025-7030 Phone: (904)712-3540 Fax: (904)775-3570 Accepting New Members? Y More languages: Hindi Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Barry Brody PHD
871 SW State Road 47
Lake City, FL 32025-0433 Phone: (386)755-1720 Fax: (386)754-1325 Accepting New Members? Y More languages: Hours of Operation: Tue,Thu (12:00PM-9:00PM); Sat (9:00AM-3:00PM)
Matthew Nguyen MD
620 SW Arlington Blvd
Lake City, FL 32025-0741 Phone: (386)758-0591 Fax: (386)758-0592 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Columbia County
Community Mental Health Centers
Psychiatrists
Psychologists
Masters Level
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 45 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Matthew Nguyen MD
1208 E. Wade Street
Trenton, FL 32693-2781 Phone: (352)463-3110 Fax: (352)463-4413 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Gilchrist County
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 46 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Cynthia Cucunato LMHC
15311 Cortez Blvd
Maria Teresa Estrada LCSW 1265 Kass Circle
Jennifer Gaiser LMFT
15311 Cortez Blvd
Springbrook Hospital
7007 Grove Road
Brooksville, FL 34609-8610 Phone: (352)596-4306 Fax: (352)596-4336 Accepting New Members? Y More languages: Spanish Creole Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00PM-12:00AM)
Wendy Caldwell LMHC
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Helen Clemente LMHC
4090 Deltona Blvd
Spring Hill, FL 34606 Phone: (352)848-4642 Fax: (352)686-7043 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (8:00AM-6:00PM)
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Brenda Dillingham LMFT
1265 Kass Circle
Spring Hill, FL 34606-4308 Phone: (352)686-3188 Fax: (352)686-9394 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 8:00PM); Fri (9:00AM-5:00PM)
Shelley Driskell LMHC
1265 Kass Circle
Spring Hill, FL 34606-4308 Phone: (352)686-3188 Fax: (352)686-9394 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 8:00PM)
Shelley Driskell LMHC
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Spring Hill, FL 34606-4308 Phone: (352)686-3188 Fax: (352)686-9394 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 9:00PM); Sat (9:00AM-5:00PM)
Melissa Euteneuer LCSW
5327 Commercial Way Suite C115 Spring Hill, FL 34606-1420 Phone: (352)597-5497 Fax: (352)597-1662 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 7:00PM)
Ronnie Evans LMHC
5327 Commercial Way Suite C-115 Spring Hill, FL 34606-1110 Phone: (352)597-5497 Fax: (352)597-1662 Accepting New Members? Y More languages: Hours of Operation: Mon,Wed,Fri (10:00AM-5:00PM)
Matthew Fox LMHC
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gina Gonzalez LMHC
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lilith Greenan LMHC
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Sophia Greiner LCSW
8374 Forest Oaks Blvd
Spring Hill, FL 34606-6844 Phone: (352)573-8000 Fax: (352)364-0116 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:30PM)
Hernando County
Masters Level
Hospitals/Clinics
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 47 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Sophia Greiner LCSW
20162 Cortez Blvd
Brooksville, FL 34601-3832 Phone: (352)754-1111 Fax: (352)544-2300 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Dawn Head LCSW
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Catherine Mara LMHC
7281 Sunshine Grove road Suite 113 Brooksville, FL 34613 Phone: (352)442-1717 Fax: (352)796-3990 Accepting New Members? Y More languages: Hours of Operation: Tue,Wed,Thu,Fri (11:00AM- 7:00PM); Sat (10:00AM-4:00PM)
Miyosia Plummer LMHC
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Sarah Shirina LCSW
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
William Striegel LMHC
5327 Commercial Way Suite C 115 Spring Hill, FL 34606-1110 Phone: (352)597-5447 Fax: (352)597-1662 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Elizabeth Church ARNP
17222 Hospital Blvd. Suite 116 Brooksville, FL 34601-8925 Phone: (352)678-5550 Fax: (352)678-5551 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Don Davis ARNP
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (866)762-1743 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation:
Tanveer Chaudhry MD
17222 Hospital Blvd. Suite 116 Brooksville, FL 34601-8925 Phone: (352)678-5550 Fax: (352)678-5551 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM); Sat-Sund (9:00AM- 5:00PM)
Gary Crawley MD
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Luis Franco Velez MD
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Ayman Hanna MD
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (866)762-1743 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation:
Nestor Milian MD
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (866)762-1743 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation:
Matthew Nguyen MD
20162 Cortez Blvd
Brooksville, FL 34601-3832 Phone: (352)754-1111 Fax: (352)544-2300 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Kirtikumar Pandya MD
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (866)762-1743 Fax: (352)544-0722 Accepting New Members? Y More languages: Gujarati Hindi Hours of Operation:
Shodhan Patel MD
12200 Cortez Blvd.
Brooksville, FL 34613-2630 Phone: (352)596-4562 Fax: (352)596-8188 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Hernando County
Nurse Practitioners
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 48 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Edmund Settle Jr MD
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (866)762-1743 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation:
Alexandr Zouev MD
15311 Cortez Blvd
Brooksville, FL 34613-6005 Phone: (352)540-9335 Fax: (352)544-0722 Accepting New Members? Y More languages: Hours of Operation:
Hernando County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 49 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Coastal Mental Health Center 734 N. 3rd Street Suite 105 Leesburg, FL 34748-5286 Phone: (800)614-4124 Fax: (888)217-4124 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Comprehensive Psychological & Asses 2511 Dora Ave.
Tavares, FL 32778-4977 Phone: (352)602-5213 Fax: (917)677-7121 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Hope for Tomorrow Mental Health Svc 221 US Highway 27
Clermont, FL 34714-8916 Phone: (407)834-0942 Fax: (407)834-0945 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Kinder Konsulting & Parents Too Inc 2400 S. Highway 27 Suite B201 Clermont, FL 34711-6816 Phone: (321)433-1111 Fax: (321)978-0298 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Lifestream Behavioral Center 2018 Tally Road
Leesburg, FL 34748-3426 Phone: (352)315-7400 Fax: (352)360-1061 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lifestream Behavioral Center 2020 Tally Road
Leesburg, FL 34748-3426 Phone: (352)315-7890 Fax: (352)360-6610 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (8:00AM-5:00PM)
Lifestream Behavioral Center 201 E Magnolia Ave
Leesburg, FL 34748-5836 Phone: (352)357-1550 Fax: (352)357-1103 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lifestream Behavioral Center 19826 E. 5th Street
Umatilla, FL 32784-3278 Phone: (352)771-8996 Fax: (352)771-0305 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lifestream Behavioral Center 655 Highway 50 Suite 104 Clermont, FL 34711-2982 Phone: (352)394-5922 Fax: (352)394-1103 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lifestream Behavioral Center 404 Webster Street
Leesburg, FL 34748-5017 Phone: (352)360-6625 Fax: (352)360-6765 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lifestream Behavioral Center 2140 N. Don Wickham Drive
Clermont, FL 34711-2982 Phone: (352)394-5922 Fax: (352)394-1103 Accepting New Members? Y More languages: Spanish Hours of Operation:
Lifestream Behavioral Center 215 N. 3rd Street
Leesburg, FL 34748-5105 Phone: (352)315-7900 Fax: (352)315-3999 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Mindful Behavioral Healthcare LLC 205 Hatteras Ave Suite 105 Clermont, FL 34711-6502 Phone: (407)846-0533 Fax: (407)518-1730 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
NeuMind Wellness Group 1050 US Highwqy 27 Unit 9 Clermont, FL 34714-7508 Phone: (352)394-0573 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 7:00PM)
The Vines Hospital
15 La Grande Blvd
The Villages, FL 32159-2384 Phone: (352)750-3301 Fax: (352)750-1632 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:30PM)
The Vines Hospital
15 La Grande Blvd
The Villages, FL 32159-2384 Phone: (352)750-3301 Fax: (352)750-1632 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:30PM)
Lake County
Community Mental Health Centers
Hospitals/Clinics
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 50 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
The Vines Hospital Christine Harris LCSW Gary Schneider LCSW Adil Mohammed MD
15 La Grande Blvd
The Villages, FL 32159-2384 Phone: (352)750-3301 Fax: (352)750-1632 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:30PM)
836 W Montrose Street Suite 6 Clermont, FL 34711-2124 Phone: (407)399-8855 Fax: (321)248-0120 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
205 Hatteras Ave Suite 102 Clermont, FL 34711-6502 Phone: (352)348-8858 Fax: (352)708-5603 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
104 E. Dixie Ave
Leesburg, FL 34748-6350 Phone: (352)702-3061 Fax: (352)559-0570 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Cassandra Burchfield LMHC 13806 S.R 33
Groveland, FL 34736-9499 Phone: (352)988-6673 Fax: (407)386-6096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (8:00AM-8:00PM)
Barry Daly LMHC
800 S. Eustis Suite G & H Eustis, FL 32726 Phone: (407)573-1192 Fax: (407)573-1193 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (10:00AM- 7:00PM)
Debra Gwynn LMFT
1175 Lucerne Drive
Mount Dora, FL 32757 Phone: (352)551-5610 Fax: (352)385-0128 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 7:00PM)
Brandi Lefler LMHC
2140 N. Don Wickham Drive
Clermont, FL 34711-2982 Phone: (352)394-5922 Fax: (352)394-1103 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Brandi Lefler LMHC
4400 N Highway 19 A Suite 5 Mount Dora, FL 32757-2022 Phone: (352)360-9646 Fax: (407)867-6316 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
John Rogers LMHC
205 Hatteras Ave Suite 102 Clermont, FL 34711-6502 Phone: (352)348-8858 Fax: (352)708-5603 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Kirsten Skovmand- Wilson LMHC 8527 US Highway 441 Suite 2 Leesburg, FL 34788-4021 Phone: (352)323-8872 Fax: (352)787-0444 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Rogers Valarie LMHC
205 Hatteras Ave Suite 102 Clermont, FL 34711-6502 Phone: (352)348-8858 Fax: (352)708-5603 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Cynthia Wanberg LMHC
205 Hatteras Ave Suite 102 Clermont, FL 34711-6502 Phone: (352)348-8858 Fax: (352)708-5603 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Matthew Nguyen MD
1300 Duncan Drive Building C Tavares, FL 32778-4206 Phone: (352)742-1590 Fax: (386)304-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Babu Rankupalli MD
15 La Grande Blvd
The Villages, FL 32159-2384 Phone: (352)750-3301 Fax: (352)750-1632 Accepting New Members? Y More languages: Hours of Operation:
Alexander Gimon PHD
826 W Desoto ST
Clermont, FL 34711-2110 Phone: (352)241-8540 Fax: (727)581-5107 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Lake County
Masters Level
Psychologists
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 51 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Alexander Gimon PHD
3115 Citrus Tower Blvd Suite C Clermont, FL 34711 Phone: (352)241-8540 Fax: (727)591-5107 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Nulife By Design
1330 Citizen Blvd Suite 404 Leesburg, FL 34748 Phone: (352)431-3551 Fax: (321)206-7076 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lake County
Targeted Case Management
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 52 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Susan Davis PHD
1351 NW 21st Ave Suite 4 Chiefland, FL 32626-1959 Phone: (352)332-9441 Fax: (352)331-6550 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 4:30PM)
Levy County
Psychologists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 53 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Camelot Community Care Inc 1601 NE 25th Ave. Suite 306 Ocala, FL 34470-4885 Phone: (352)671-7884 Fax: (352)671-7379 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Families First of Florida LLC 1701 NE 42nd Ave Suite 301 Ocala, FL 33634-6310 Phone: (813)290-8560 Fax: (352)354-9166 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Flagler Mental Health Center 1800 SE 32nd Ave Suite 105 Ocala, FL 34471-5597 Phone: (386)313-1989 Fax: (386)206-1057 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (8:00AM-8:00PM)
Phoenix Houses of Florida 15681 N. Highway 301
Citra, FL 32113-3154 Phone: (352)595-5000 Fax: (352)595-4142 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
The Centers Inc
717 SW MLK Jr. Ave.
Ocala, FL 34471-1435 Phone: (352)291-5555 Fax: (352)291-5563 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
The Centers Inc
5664 SW 60th Ave.
Ocala, FL 34474-5677 Phone: (352)291-5555 Fax: (352)291-5563 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
The Vines Hospital
3130 SW 27th Ave.
Ocala, FL 34471-4306 Phone: (352)671-3130 Fax: (352)387-0767 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
The Vines Hospital
3130 SW 27th Ave.
Ocala, FL 34471-4306 Phone: (352)671-3130 Fax: (352)387-0767 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
The Vines Hospital
3130 SW 27th Ave.
Ocala, FL 34471-4306 Phone: (352)671-3130 Fax: (352)387-0767 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Michelle Forsythe LMHC
1541 NE 22nd Ave
Ocala, FL 34470 Phone: (352)624-3307 Fax: (352)622-1017 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Kevin Goolsby LMHC
1601 NE 25th Ave. Suite 306 Ocala, FL 34470-4885 Phone: (352)671-7884 Fax: (352)671-7379 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Jason Tucker LMHC
1701 NE 42nd Ave Suite 301 Ocala, FL 33634-6310 Phone: (813)290-8560 Fax: (352)354-9166 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Joy Abraham MD
3130 SW 27th Ave.
Ocala, FL 34471-4306 Phone: (352)671-3130 Fax: (352)387-0767 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Rosario Alcera MD
3130 SW 27th Avenue
Ocala, FL 34471-4306 Phone: (352)671-3130 Fax: (352)387-0767 Accepting New Members? Y More languages: Hours of Operation:
Gnaneswara Midathala MD 3130 SW 27th Avenue
Ocala, FL 34471-4306 Phone: (352)671-3130 Fax: (352)387-0767 Accepting New Members? Y More languages: Hours of Operation:
Matthew Nguyen MD
226 NE Sanchez Ave
Ocala, FL 34470-5871 Phone: (352)368-7211 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Marion County
Community Mental Health Centers
Hospitals/Clinics
Masters Level
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 54 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Matthew Nguyen MD
2091 NE 35th St
Ocala, FL 34479-2909 Phone: (352)732-1355 Fax: (352)732-1718 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Mariam Rahmani MD
1601 NE 25th Ave. Suite 306 Ocala, FL 34470-4885 Phone: (352)671-7884 Fax: (352)671-7379 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Bernie Bulcourf PHD
3305 SW 34th Circle Suite 101 Ocala, FL 34474-6617 Phone: (352)332-9441 Fax: (352)331-6550 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 4:30PM)
Mary Ellis PSYD
20114 E Pennsylvania Ave
Dunnellon, FL 34432 Phone: (352)465-2444 Fax: (352)465-7854 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Marion County
Psychologists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 55 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
SMA Behavioral Health Svcs(OP Svcs) 330 Kay Larkin Drive
Palatka, FL 32177-2307 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Putnam County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 56 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 03
Lifestream Behavioral Center 340 Heald Way Suite 208 The Villages, FL 32163-6000 Phone: (352)259-5762 Fax: (352)259-5764 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lifestream Behavioral Center 119 N. Market Street
Bushnell, FL 33513-6107 Phone: (352)793-4126 Fax: (352)793-7345 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Matthew Nguyen MD
1601 W. Gulf Atlantic Highw
Wildwood, FL 34785-8158 Phone: (352)748-9999 Fax: (386)304-7620 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Sumter County
Community Mental Health Centers
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 57 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Child Guidance Center
418 South 8 Street
Macclenny, FL 32063-2378 Phone: (904)448-4700 Fax: (904)783-1901 Accepting New Members? Y More languages: Arabic Tagalog Hours of Operation:
Child Guidance Center
418 South 8 Street
Macclenny, FL 32063-2378 Phone: (904)448-4700 Fax: (904)783-1901 Accepting New Members? Y More languages: Arabic Tagalog Hours of Operation:
Baker County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 58 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Kevin Goolsby LMHC
89 Knight Boxx Road
Odalys Brito MD
2001 Kingsley Ave.
Clay Behavioral Health Center 89 Knight Boxx Road
Orange Park, FL 32065-8015 Phone: (904)213-2909 Fax: (904)213-2927 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Orange Park, FL 32065-8015 Phone: (904)213-2909 Fax: (904)213-2927 Accepting New Members? Y More languages: Hours of Operation: Mon,Wed,Thu,Fri (8:00AM- 5:00PM)
Kevin Goolsby LMHC
3292 County Road 220
Orange Park, FL 32073-5148 Phone: (904)399-6353 Fax: (905)399-6356 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Jonathan Carvajal MD
2001 Kingsley Ave.
Clay Behavioral Health Center 1726 Kingsley Ave. Suite 2 Orange Park, FL 32073-4463 Phone: (904)278-5644 Fax: (904)278-5659 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Clay Behavioral Health Center 3292 County Road 220
Middleburg, FL 32068-4357 Phone: (904)291-5561 Fax: (904)278-5659 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Middleburg, FL 32068-4357 Phone: (904)291-5561 Fax: (904)278-5659 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Kevin Goolsby LMHC
1726 Kingsley Ave. Suite 2 Orange Park, FL 32073-4463 Phone: (904)278-5644 Fax: (904)278-5659 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Constance Thomas LCSW
4375 U.S. Highway Suite 103 Fleming Island, FL 32003-483 Phone: (904)269-0886 Fax: (904)269-0499 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 4:00PM)
Orange Park, FL 32073-5148 Phone: (904)399-6353 Fax: (905)399-6356 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Kathleen Grissett MD
1543 Kingsley Ave. Suite 6 Orange Park, FL 32073-3037 Phone: (904)269-7200 Fax: (904)269-0070 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Larry Neidigh PHD
1543 Kingsley Ave Suite 18A Orange Park, FL 32073-4568 Phone: (904)269-3324 Fax: (904)264-2302 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 8:00PM); Fri (8:00AM-4:00PM)
Clay County
Masters Level
Psychologists
Psychiatrists
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 59 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Child Guidance Center
1100 Cesery Blvd. Suite 100 Jacksonville, FL 32211-5656 Phone: (904)448-4700 Fax: (904)448-4717 Accepting New Members? Y More languages: Arabic Tagalog Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM); Fri (8:00AM-5:00PM)
Child Guidance Center
1100 Cesery Blvd. Suite 100 Jacksonville, FL 32211-5656 Phone: (904)448-4700 Fax: (904)448-4717 Accepting New Members? Y More languages: Arabic Tagalog Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM); Fri (8:00AM-5:00PM)
Child Guidance Center
1110 Edgewood Ave.
Childrens Home Society
3027 San Diego Road
Jacksonville, FL 32207-3691 Phone: (904)493-7744 Fax: (904)348-2818 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Gateway Community Services 555 Stockton Street
Helping Hands Inspire Happy Hearts 1225 West Beaver Street 205 Jacksonville, FL 32204-1416 Phone: (904)712-3540 Fax: (904)775-3570 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jewish Family & Community Services 6261 Dupond Station Court E
Child Guidance Center
804 3 Street Suite C Neptune Beach, FL 32266-50 Phone: (904)448-4700 Fax: (904)745-3085 Accepting New Members? Y More languages: Arabic Tagalog Hours of Operation: Mon,Fri (8:00AM-1:00PM); Tue,Wed (8:00AM-5:00PM); Thu (8:00AM-4:30PM)
Child Guidance Center
1110 Edgewood Ave.
Jacksonville, FL 32254-2326 Phone: (904)448-4700 Fax: (904)448-4717 Accepting New Members? Y More languages: Arabic Tagalog Hours of Operation: Mon,Tue,Wed,Thu (8:30AM- 6:00PM); Fri (8:30AM-12:30PM)
Child Guidance Center
4595 Lexington Ave.
Jacksonville, FL 32210-2058 Phone: (904)448-4700 Fax: (904)448-4717 Accepting New Members? Y More languages: Arabic Tagalog Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 7:00PM); Fri (8:00AM-5:00PM)
Jacksonville, FL 32254-2326 Phone: (904)448-4700 Fax: (904)448-4717 Accepting New Members? Y More languages: Arabic Tagalog Hours of Operation: Mon,Tue,Wed,Thu (8:30AM- 6:00PM); Fri (8:30AM-12:30PM)
Child Guidance Center
4595 Lexington Ave.
Jacksonville, FL 32210-2058 Phone: (904)448-4700 Fax: (904)448-4717 Accepting New Members? Y More languages: Arabic Tagalog Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 7:00PM); Fri (8:00AM-5:00PM)
Child Guidance Center
804 3 Street Suite C Neptune Beach, FL 32266-50 Phone: (904)448-4700 Fax: (904)745-3085 Accepting New Members? Y More languages: Arabic Tagalog Hours of Operation: Mon,Fri (8:00AM-1:00PM); Tue,Wed (8:00AM-5:00PM); Thu (8:00AM-4:30PM)
Jacksonville, FL 33765-3344 Phone: (904)387-4661 Fax: (904)384-5753 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 9:00PM); Fri (8:00AM-5:00PM)
Gateway Community Services 940 Bridier Street
Jacksonville, FL 32206-5904 Phone: (904)646-4889 Fax: (904)389-8758 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Gateway Community Services 2951 Parental Home Road
Jacksonville, FL 32216-5703 Phone: (904)646-4889 Fax: (904)389-8758 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Wed,Thu,Fri (8:00AM- 5:00PM); Tue (8:00AM-8:00PM)
Jacksonville, FL 32217-2567 Phone: (904)448-1933 Fax: (904)448-0349 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Keystone Behavioral Pediatrics 6867 Southpoint Drive N. Suite 101 Jacksonville, FL 32216-8005 Phone: (904)619-6071 Fax: (904)212-0309 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Mental Health Resource Center Inc 507 East Church Sreet
Jacksonville, FL 32202-2723 Phone: (904)358-2411 Fax: (904)358-2448 Accepting New Members? Y More languages: Punjab Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Duval County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 60 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Mental Health Resource Center Inc 4427 Emerson Street Building 5 Jacksonville, FL 32207-4960 Phone: (904)745-0042 Fax: (904)743-4112 Accepting New Members? Y More languages: Punjab Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 2:40PM)
Mental Health Resource Center Inc 11820 Beach Blvd
Jacksonville, FL 32246-6670 Phone: (904)743-1883 Fax: (904)642-9100 Accepting New Members? Y More languages: Punjab Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
PSI Behavioral Health
3890 Dunn Ave. Suite 1104 Jacksonville, FL 32218-6432 Phone: (904)723-6049 Fax: (904)723-5904 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Youth Crisis Center Inc
3015 Parental Home Road
Jacksonville, FL 32216-5704 Phone: (904)720-0002 Fax: (904)724-8513 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Mental Health Resource Center Inc 655 West 8th Street Suite 4-South Pavilion Jacksonville, FL 32209-6511 Phone: (904)244-1476 Fax: (904)244-1472 Accepting New Members? Y More languages: Punjab Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Mental Health Resource Center Inc 4080 Woodcock Drive Building 2400 Suite 105 Jacksonville, FL 32207-2722 Phone: (904)396-1770 Fax: (904)396-1897 Accepting New Members? Y More languages: Punjab Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Mental Health Resource Center Inc 3333 West 20th Street
Jacksonville, FL 32246-2228 Phone: (904)743-1883 Fax: (904)695-2465 Accepting New Members? Y More languages: Punjab Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:30PM)
Neighbor to Family
4057 Carmichael Ave.
Jacksonville, FL 32207-2359 Phone: (386)523-1440 Fax: (904)996-7275 Accepting New Members? Y More languages: Spanish Creole Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Northwest Behavioral Health Service 2392 N Edgewood Ave
Jacksonville, FL 32254-1725 Phone: (904)781-7797 Fax: (908)781-8685 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Northwest Behavioral Health Service 1400 Edgewood Ave
Jacksonville, FL 32254-2330 Phone: (904)781-7797 Fax: (908)781-8685 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Right Path Behavioral Health Svcs 1725 Oakhurst Ave
Jacksonville, FL 32208-3200 Phone: (904)765-0665 Fax: (904)765-0664 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Sorinity Support Services of Florid 9140 Gulfside Drive Suite 145 Jacksonville, FL 32256-1881 Phone: (866)494-4734 Fax: (877)712-4623 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
The Chrysalis Center
3100 University Blvd. Suite 120 Jacksonville, FL 32216-2737 Phone: (800)815-0210 Fax: (954)587-0080 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:30PM)
Memorial Hospital Jacksonville 3625 University Blvd S.
Jacksonville, FL 32216-4207 Phone: (904)399-6111 Fax: (904)399-6849 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Shands Jacksonville Medical Center 655 W. 8th Street
Jacksonville, FL 32209-6511 Phone: (904)244-8675 Fax: (904)244-4027 Accepting New Members? Y More languages: Hours of Operation:
Wekiva Springs Center
3947 Salisbury Road
Jacksonville, FL 32216-6115 Phone: (904)296-3533 Fax: (904)296-3536 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Duval County
Hospitals/Clinics
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 61 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Wekiva Springs Center Kevin Goolsby LMHC Amelia Brown ARNP Nora Burns DO
1909 Beach Blvd. 3725 Belfort Road 3625 University Blvd. S. 3625 University Blvd. S.
Jacksonville Beach, FL 32250 Phone: (904)296-0853 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Jacksonville, FL 32216-5813 Phone: (904)296-1055 Fax: (904)448-7700 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jacksonville, FL 32216-4207 Phone: (904)702-6111 Fax: (866)721-5909 Accepting New Members? Y More languages: Hours of Operation:
Jacksonville, FL 32216-4207 Phone: (904)702-6111 Fax: (866)721-5909 Accepting New Members? Y More languages: Portuguese Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Wekiva Springs Center Barika Grayson LMHC Victoria Kozel ARNP Raul Corredor MD
1909 Beach Blvd.
Jacksonville Beach, FL 32250 Phone: (904)296-0853 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
6817 Southpoint Pkwy Suite 802 Jacksonville, FL 32216-6292 Phone: (904)413-1379 Fax: (904)677-7886 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM); Sat (11:00AM-2:00PM)
3625 University Blvd. S.
Jacksonville, FL 32216-4207 Phone: (904)702-6111 Fax: (866)721-5909 Accepting New Members? Y More languages: Russian Ukraini Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
3625 University Blvd. S.
Jacksonville, FL 32216-4207 Phone: (904)702-6111 Fax: (866)721-5909 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Wekiva Springs Center
3947 Salisbury Road
Jacksonville, FL 32216-6115 Phone: (904)296-3533 Fax: (904)296-3536 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Hydee Vanterpool LMHC
4237 Salisbury Road
Jacksonville, FL 32216-8029 Phone: (904)294-5329 Fax: (904)485-8460 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Carla Schlenke ARNP
1731 University Blvd
Jacksonville, FL 32216-4207 Phone: (904)725-0200 Fax: (904)721-5711 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Mohammad Farooque MD 10175 Fortune Parkway Suite 1106 Jacksonville, FL 32256-6757 Phone: (904)379-5938 Fax: (904)379-5967 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Kevin Goolsby LMHC
2720 Park Street Suite 202 Jacksonville, FL 32205-7645 Phone: (904)338-2998 Fax: (844)250-8734 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 7:00PM); Sat (8:00AM-12:00PM)
Kyshia Williams LCSW
4251 University Blvd. S. Suite 301 Jacksonville, FL 32216-4923 Phone: (904)828-4003 Fax: (904)828-4395 Accepting New Members? Y More languages: Hours of Operation:
Babur Bhatti MD
3625 University Blvd. S.
Jacksonville, FL 32216-4207 Phone: (904)702-6111 Fax: (866)721-5909 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Anika Forbes DO
3625 University Blvd. S.
Jacksonville, FL 32216-4207 Phone: (904)702-6111 Fax: (866)721-5909 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Duval County
Masters Level Psychiatrists
Nurse Practitioners
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 62 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Umesh Mhatre MD Sivanta Paul MD Kishore Thampy MD Carlos Torrellas MD
1225 West Beaver Street 205 Jacksonville, FL 32204-1416 Phone: (904)712-3540 Fax: (904)775-3570 Accepting New Members? Y More languages: Hindi Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
3890 Dunn Ave. Suite 1104 Jacksonville, FL 32218-6432 Phone: (904)723-6049 Fax: (904)723-5904 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
3333 West 20th Street
Jacksonville, FL 32246-2228 Phone: (904)743-1883 Fax: (904)695-2465 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:30PM)
4190 Belfort Road Suite 140 Jacksonville, FL 32216-1407 Phone: (904)296-2999 Fax: (954)296-3623 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Fri (9:00AM- 5:00PM); Thu (11:00AM-6:00PM)
Umesh Mhatre MD Sivanta Paul MD Kishore Thampy MD Carlos Torrellas MD
3890 Dunn Ave. Suite 1104 Jacksonville, FL 32218-6432 Phone: (904)723-6049 Fax: (904)723-5904 Accepting New Members? Y More languages: Hindi Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
3725 Belfort Road
Jacksonville, FL 32216-5813 Phone: (904)296-1055 Fax: (904)448-7700 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4427 Emerson Street Building 5 Jacksonville, FL 32207-4960 Phone: (904)745-0042 Fax: (904)743-4112 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 2:40PM)
507 East Church Sreet
Jacksonville, FL 32202-2723 Phone: (904)358-2411 Fax: (904)358-2448 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Vikas Pattu MD Kishore Thampy MD Kishore Thampy MD Carlos Torrellas MD
1731 University Blvd 11820 Beach Blvd 507 East Church Sreet 11820 Beach Blvd
Jacksonville, FL 32216-4207 Phone: (904)725-0200 Fax: (904)721-5711 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jacksonville, FL 32246-6670 Phone: (904)743-1883 Fax: (904)642-9100 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jacksonville, FL 32202-2723 Phone: (904)358-2411 Fax: (904)358-2448 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jacksonville, FL 32246-6670 Phone: (904)743-1883 Fax: (904)642-9100 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Sivanta Paul MD Kishore Thampy MD Kishore Thampy MD Carlos Torrellas MD
6261 Dupond Station Court E
Jacksonville, FL 32217-2567 Phone: (904)448-1933 Fax: (904)448-0349 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
1731 University Blvd
Jacksonville, FL 32216-4207 Phone: (904)725-0200 Fax: (904)721-5711 Accepting New Members? Y More languages: Hours of Operation:
655 West 8th Street Suite 4-South Pavilion Jacksonville, FL 32209-6511 Phone: (904)244-1476 Fax: (904)244-1472 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
3333 West 20th Street
Jacksonville, FL 32246-2228 Phone: (904)743-1883 Fax: (904)695-2465 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:30PM)
Duval County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 63 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Carlos Torrellas MD
3890 Dunn Ave. Suite 1104 Jacksonville, FL 32218-6432 Phone: (904)723-6049 Fax: (904)723-5904 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Carlos Torrellas MD
4190 Belfort Road Suite 140 Jacksonville, FL 32216-1407 Phone: (904)296-2999 Fax: (954)296-3623 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Thu (11:00AM-6:00PM); Tue,Wed,Fri (9:00AM-5:00PM)
Carlos Torrellas MD
4427 Emerson Street Building 5 Jacksonville, FL 32207-4960 Phone: (904)745-0042 Fax: (904)743-4112 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 2:40PM)
River Point Behavioral Health 6300 Beach Blvd
Jacksonville, FL 32216-2708 Phone: (904)724-9202 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Carlos Torrellas MD
4190 Belfort Road Suite 140 Jacksonville, FL 32216-1407 Phone: (904)296-2999 Fax: (954)296-3623 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon (11:00AM-6:00PM); Tue,Wed,Thu (9:00AM-5:00PM); Fri (9:00AM-3:00PM)
Carlos Torrellas MD
4190 Belfort Road Suite 140 Jacksonville, FL 32216-1407 Phone: (904)296-2999 Fax: (954)296-3623 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon (11:00AM-6:00PM); Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Carlos Torrellas MD
4190 Belfort Road Suite 140 Jacksonville, FL 32216-1407 Phone: (904)296-2999 Fax: (954)296-3623 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Thu (11:00AM-6:00PM); Tue,Wed (9:00AM-5:00PM); Fri (9:00AM-3:00PM)
Carlos Torrellas MD
4190 Belfort Road Suite 140 Jacksonville, FL 32216-1407 Phone: (904)296-2999 Fax: (954)296-3623 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed (9:00AM- 5:00PM); Thu (11:00AM- 6:00PM); Fri (9:00AM-3:00PM)
Carlos Torrellas MD
4190 Belfort Road Suite 140 Jacksonville, FL 32216-1407 Phone: (904)296-2999 Fax: (954)296-3623 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM); Fri (9:00AM-3:00PM)
Carlos Torrellas MD
4190 Belfort Road Suite 140 Jacksonville, FL 32216-1407 Phone: (904)296-2999 Fax: (954)296-3623 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Carlos Torrellas MD
655 West 8th Street Suite 4-South Pavilion Jacksonville, FL 32209-6511 Phone: (904)244-1476 Fax: (904)244-1472 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
Susan Zink MD
3625 University Blvd. S.
Jacksonville, FL 32216-4207 Phone: (904)702-6111 Fax: (866)721-5909 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Daniel Memorial Inc
3725 Belfort Road
Jacksonville, FL 32216-5813 Phone: (904)296-1055 Fax: (904)448-7700 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Medallion Health Care Services 9951 Atlantic Blvd Suite 319 Jacksonville, FL 32225 Phone: (904)371-2800 Fax: (904)725-0423 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:30AM- 4:00PM)
New Perspective Services Inc. 5000-7 Norwood Ave.
Jacksonville, FL 32208-5001 Phone: (904)379-1392 Fax: (904)647-1936 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Duval County
Targeted Case Management
Statewide Inpatient Psychiatric Programs
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 64 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Emeka Anyiam LMFT
59 Bayside Drive
Flagler Mental Health Center 2729 E. Moody Blvd. Suite 105 Bunnell, FL 32110-5964 Phone: (386)313-1989 Fax: (386)206-1057 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (8:00AM-8:00PM)
Palm Coast, FL 32137-8871 Phone: (386)868-1992 Fax: Accepting New Members? Y More languages: Hours of Operation:
Richard Fay LCSW
59 Bayside Drive
SMA Behavioral Health Svcs(OP Svcs) 301 Justice Lane
Bunnell, FL 32110-4487 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Palm Coast, FL 32137-8871 Phone: (386)868-1992 Fax: Accepting New Members? Y More languages: Hours of Operation:
Stacy Savage LMHC
381 SW Palm Coast Pkwy
The Helping Hand of Tomorrow Inc. 59 Bayside Drive
Palm Coast, FL 32137-8871 Phone: (386)868-1992 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Palm Coast, FL 32137 Phone: (386)597-2904 Fax: (386)597-2903 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Flagler County
Masters Level
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 65 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Starting Point Behavioral Health Ca 463142 State Road 200
Yulee, FL 32097-5554 Phone: (904)225-8280 Fax: (904)225-8232 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Starting Point Behavioral Health Ca 371015 Eastwood Road
Hilliard, FL 32046-6740 Phone: (904)225-8280 Fax: (904)225-8232 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Nassau County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 66 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
SMA Behavioral Health Svcs(OP Svcs) 420 N. Orange Street
St. Augustine Youth Services 261 Simone Way
ARC of the St. Johns Inc
2101 Arc Drive
Saint Augustine, FL 32084-05 Phone: (904)824-7249 Fax: (904)824-8063 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Epic Behavioral Healthcare 1400 Old Dixie Highway
Saint Augustine, FL 32084-41 Phone: (904)829-2273 Fax: (904)824-0724 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
SMA Behavioral Health Svcs(OP Svcs) 150 N. Holmes Blvd.
Saint Augustine, FL 32084-24 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Saint Augustine, FL 32084-95 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
St. Augustine Youth Services 381 Simone Way
Saint Augustine, FL 32086-77 Phone: (904)829-1770 Fax: (904)825-0604 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
St. Augustine Youth Services 319 Simone Way
Saint Augustine, FL 32086-77 Phone: (904)829-1770 Fax: (904)825-0604 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
St. Augustine Youth Services 201 Simone Way
Saint Augustine, FL 32086-77 Phone: (904)829-1770 Fax: (904)825-0604 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lewis Moskowitz LMHC
6000 A Suwgrass Village Circl Suite 6 Ponte Vedra Beach, FL 32082 Phone: (904)770-9717 Fax: (904)217-0900 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 8:00PM); Fri (9:00AM-4:00PM); Sat (8:00AM-3:00PM)
SMA Behavioral Health Svcs(OP Svcs) 200 San Sebastian View Suite 2102 Saint Augustine, FL 32084 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Saint Augustine, FL 32086-77 Phone: (904)829-1770 Fax: (904)825-0604 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
St. Johns County
Masters Level
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 67 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Adapt Behavioral Services 533 N Nova Road Suite 204 Ormond Beach, FL 32174-44 Phone: (386)898-5003 Fax: (386)675-6490 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Coastal Mental Health Center 1673 Mason Ave Suite 204 Daytona Beach, FL 32117-55 Phone: (800)614-4124 Fax: (888)217-4124 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Coastal Mental Health Center 300 Treemont Drive
Flagler Mental Health Center 800 S. Nova Road Suite D Ormond Beach, FL 32174-73 Phone: (386)313-1989 Fax: (386)206-1057 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (8:00AM-8:00PM)
Florida United Methodist Children's 51 Children's Way
Positive Behavioral Solutions LLC 100 East New York Ave 300 Deland, FL 32724-5565 Phone: (321)299-9415 Fax: (407)296-2286 Accepting New Members? Y More languages: Hours of Operation: Tue (9:00AM-5:00PM); Thu (12:00PM-5:00PM)
Saafe Behavioral Services LLC 201 W Plymouth Ave
Childrens Home Society
2400 S. Ridgewood Ave. Suite 32 South Daytona, FL 32119-30 Phone: (386)304-7600 Fax: (386)304-7620 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Circle of Friends Services Inc. 517 Deltona Blvd Suite A Deltona, FL 32725-8016 Phone: (386)259-5413 Fax: (386)753-9265 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Coastal Mental Health Center 667 Deltona Blvd Suite 102 Deltona, FL 32725-8151 Phone: (800)614-4124 Fax: (888)217-4124 Accepting New Members? Y More languages: Spanish Hours of Operation:
Orange City, FL 32763-7977 Phone: (800)614-4124 Fax: (888)217-4124 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Embridge Counseling Services 140 South Beach Street Suite 310 Daytona Beach, FL 32114-44 Phone: (386)747-6541 Fax: (866)401-6150 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM); Sat (9:00AM-3:00PM)
Embridge Counseling Services 508 Coral Trace Blvd
Edgewater, FL 32132-6926 Phone: (386)968-2500 Fax: (866)401-6150 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM); Sat (9:00AM-3:00PM)
Deltona, FL 32725 Phone: (386)668-4774 Fax: (386)668-0542 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM); Sat (9:00AM-12:00PM)
Impower Inc
101 North Woodland Blvd Suite 201 Deland, FL 32720-4246 Phone: (386)262-4722 Fax: (407)261-0523 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Neighbor to Family
122 S. Segrave Street Suite 120 Daytona Beach, FL 32114-43 Phone: (386)523-1440 Fax: (386)248-0916 Accepting New Members? Y More languages: Spanish Creole Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Deland, FL 32720-2753 Phone: (386)873-2963 Fax: (386)873-2786 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 5:30PM); Fri (8:00AM-2:00PM)
Saafe Behavioral Services LLC 208 Booth Road Suite C & D Ormond Beach, FL 32174-57 Phone: (386)873-2963 Fax: (386)873-2786 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 5:30PM); Fri (8:00AM-2:00PM)
SMA Behavioral Health Svcs(IP Svcs) 1150 Red John Road
Daytona Beach, FL 32124-10 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation:
Volusia County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 68 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
SMA Behavioral Health Svcs(OP Svcs) 105 W. Calvin Street
Deland, FL 32720-7403 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
SMA Behavioral Health Svcs(OP Svcs) 356 Englenook Drive
Debary, FL 32713-1805 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
SMA Behavioral Healthcare 1220 Willis Ave.
Daytona Beach, FL 32114-28 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Emeka Anyiam LMFT
140 South Beach Street Suite 310 Daytona Beach, FL 32114-44 Phone: (386)747-6541 Fax: (866)401-6150 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM); Sat (9:00AM-12:00PM)
SMA Behavioral Health Svcs(OP Svcs) 1220 Willis Ave.
SMA Behavioral Health Svcs(OP Svcs) 3875 Tiger Bay Road
The Chrysalis Center
412 S. Palmetto Ave.
Emeka Anyiam LMFT
508 Coral Trace Blvd
Daytona Beach, FL 32114-28 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Daytona Beach, FL 32124-10 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Daytona Beach, FL 32114-49 Phone: (386)679-1465 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:30PM)
Edgewater, FL 32132-6926 Phone: (386)968-2500 Fax: (866)401-6150 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM); Sat (9:00AM-12:00PM)
SMA Behavioral Health Svcs(OP Svcs) 1251 N. Stone Street
Deland, FL 32720-2584 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
SMA Behavioral Health Svcs(OP Svcs) 311 N. Orange Street
New Smyrna Beach, FL 3216 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
SMA Behavioral Health Svcs(OP Svcs) 702 S. Ridgewood Ave.
Daytona Beach, FL 32114-53 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
SMA Behavioral Health Svcs(OP Svcs) 200 Fentress Blvd.
Daytona Beach, FL 32114-12 Phone: (386)236-3200 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Halifax Medical Center
303 N. Clyde Morris Blvd.
Daytona Beach, FL 32114-27 Phone: (386)425-4000 Fax: Accepting New Members? Y More languages: Creole Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Emeka Anyiam LMFT
517 Deltona Blvd Suite A Deltona, FL 32725-8016 Phone: (386)259-5413 Fax: (386)753-9265 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Kimberly Burgnon LMHC
120 E New York Ave. Suite B/C Deland, FL 32724-5568 Phone: (386)738-5543 Fax: (866)440-0613 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Volusia County
Hospitals/Clinics
Masters Level
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 69 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Wendi Cassand LCSW Sue Levy LCSW Jesica Rivette LMHC Adly Thebaud MD
406 Braddock Ave.
Daytona Beach, FL 32118 Phone: (954)650-1706 Fax: (561)362-3716 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (6:00AM- 8:00PM)
601 N Clyde Morris Blvd Suite C Daytona Beach, FL 32114-23 Phone: (954)753-2802 Fax: (954)341-1171 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM); Fri (8:00AM-5:00PM)
208 Booth Road Suite C & D Ormond Beach, FL 32174 Phone: (386)256-4118 Fax: (386)256-4303 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
2725 Rebecca Lane Suite 107 Orange City, FL 32763-8350 Phone: (386)775-5299 Fax: (386)218-0037 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Carole Hull LMHC
620 E New York Ave Suite a Deland, FL 32724-6084 Phone: (386)668-5435 Fax: (386)738-5916 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (11:00AM- 7:00PM)
Edward King LCSW
1690 Dunlawton Ave Suite 125 Port Orange, FL 32127-8979 Phone: (386)681-8639 Fax: (386)310-3992 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Shannon King LCSW
1690 Dunlawton Ave Suite 125 Port Orange, FL 32127-8979 Phone: (386)681-8639 Fax: (386)310-3992 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Kristi Miller LMHC
430 Braddock Ave
Daytona Beach, FL 32118 Phone: (386)258-1618 Fax: (386)253-4215 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Michelle Protko LMHC
430 Braddock Ave
Daytona Beach, FL 32118 Phone: (386)258-1618 Fax: (386)253-4215 Accepting New Members? Y More languages: Hours of Operation: Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Graciela Pulliam LMHC
118 1/2 N Woodland Blvd Suite #1 Deland, FL 32720-4268 Phone: (321)578-7488 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Fri (8:00AM-8:00PM); Sat (9:00AM-6:00PM)
Jesica Rivette LMHC
201 W. Plymouth Ave.
Deland, FL 32720-2753 Phone: (386)873-2963 Fax: (386)873-2786 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:30PM); Sat (9:00AM-3:00PM)
Paula Wright LCSW
2725 Rebecca Lane Suite 107 Orange City, FL 32763-8350 Phone: (386)775-5299 Fax: (386)218-0037 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Harish Kher MD
601 N. Clyde Morris Blvd.
Daytona Beach, FL 32114-23 Phone: (386)257-4777 Fax: (386)257-4776 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 6:00PM); Fri (9:00AM-5:00PM)
Choices Programs Organization 667 Deltona Blvd. Suite 101 Deltona, FL 32725-8151 Phone: (386)259-4985 Fax: (888)558-2556 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 4:00PM)
ESP Case Management Professionals 345 Beville Road Suite 106 South Daytona, FL 32119-21 Phone: (386)760-7533 Fax: (386)761-5868 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Intuitive Networking
110 East Granada
Ormond Beach, FL 32176 Phone: (386)256-1492 Fax: (386)753-3622 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Volusia County
Psychiatrists
Targeted Case Management
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 70 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 04
Intuitive Networking
435 South Ridgewood Ave Suite 118 Daytona Beach, FL 32114 Phone: (386)256-1492 Fax: (386)753-3622 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Medallion Health Care Services 847 Orange Ave. Suite B Daytona Beach, FL 32114 Phone: (386)341-0550 Fax: (386)675-6592 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:30AM- 4:00PM)
Devereux Foundation- Deland 120 E New York Ave. Suite B/C Deland, FL 32724-5568 Phone: (386)738-5543 Fax: (866)440-0613 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Volusia County
Therapeutic Foster Care/Specialized Therapeutic Foster
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 71 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Gulf Coast Jewish Fam Svcs 3142 Darlington Road
Holiday, FL 34691-3109 Phone: (727)943-4840 Fax: (727)943-4845 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Gulf Coast Jewish Fam Svcs 2425 Chatlin Road
Holiday, FL 34691-3366 Phone: (727)943-4847 Fax: (727)943-4852 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Impower Inc
3848 Flatiron Loop Suite 101 Wesley Chapel, FL 33544 Phone: (813)381-5525 Fax: (386)262-4722 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Sequelcare of Florida
9550 US Hwy. 19 Suite 203 Port Richey, FL 34668-4664 Phone: (727)494-7609 Fax: (727)645-6997 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
New Port Richey Hospital
9330 State Road 54
Trinity, FL 34655-1808 Phone: (727)848-1733 Fax: (727)848-5136 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
New Port Richey Hospital
5637 Marine Pkwy.
New Port Richey, FL 34652-4 Phone: (727)834-4910 Fax: (727)834-5963 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
North Tampa Behavioral Health 29910 State Road 56
Wesley Chapel, FL 33543-88 Phone: (813)922-3300 Fax: (813)973-3763 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-12:00AM)
Angela Adami LCSW
37944 Pasco Ave Suite A Dade City, FL 33525-4202 Phone: (352)518-2000 Fax: (352)567-1974 Accepting New Members? Y More languages: Hours of Operation: Mon (7:00AM-7:00PM); Tue,Wed,Thu,Fri (7:00AM- 4:00PM)
Erum Ahmed LMFT
14527 Seventh Street
Dade City, FL 33523-3102 Phone: (813)428-6181 Fax: (352)521-1477 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Julia Bartunek LMHC
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Kelly Beadle LCSW
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation:
Krystal Brown LCSW
14527 Seventh Street
Dade City, FL 33523-3102 Phone: (813)428-6181 Fax: (352)521-1477 Accepting New Members? Y More languages: Hours of Operation:
Jennifer Buck LMHC
8132 King Helie Blvd.
New Port Richey, FL 34653-1 Phone: (813)428-6181 Fax: (727)834-3969 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Julie Burgos LMHC
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Joseph Callan LCSW
5745 Main Street Suite 202 New Port Richey, FL 34652-2 Phone: (813)924-0488 Fax: (813)996-6108 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Fri (9:00AM- 6:00PM); Thu (9:00AM-5:00PM)
Pasco County
Community Mental Health Centers
Hospitals/Clinics
Masters Level
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 72 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Susan Case LMHC Chad Exceen LMHC Diana Foltz LCSW Amy Johnson LMHC
160 Duck Slough Suite 101 New Port Richey, FL 34655-5 Phone: (727)560-2263 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
14527 Seventh Street
Dade City, FL 33523-3102 Phone: (813)428-6181 Fax: (352)521-1477 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Elizabeth Dillon LMHC
8002 King Helie Blvd
Denise Fagan LMHC
14527 Seventh Street
Cassandra Gadouas LMHC 7620 Congress Street
Tracey Kaly LMHC
8132 King Helie Blvd.
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Dade City, FL 33523-3102 Phone: (813)428-6181 Fax: (352)521-1477 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-1 Phone: (727)505-0959 Fax: (305)675-9200 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
New Port Richey, FL 34653-1 Phone: (813)428-6181 Fax: (727)834-3969 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alice Elliott (Barbera) LMHC 8132 King Helie Blvd.
Christine Fanelli LCSW
8002 King Helie Blvd
Laurie Giancola LMHC
7809 Massachusetts Ave
Varghese Kodiyan LCSW
6333 Langston Ave.
New Port Richey, FL 34653-1 Phone: (813)428-6181 Fax: (727)834-3969 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-3 Phone: (813)428-6181 Fax: (727)841-4354 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34654-1 Phone: (813)245-7326 Fax: (813)964-0453 Accepting New Members? Y More languages: Hours of Operation: Sat (9:00AM-8:00PM)
Robert Evanko LMHC Melissa Farrell LCSW Janice Jadlowski LCSW Varghese Kodiyan LCSW
8132 King Helie Blvd. 3812 Watson Drive 7809 Massachusetts Ave 9110 Star Trail
New Port Richey, FL 34653-1 Phone: (813)428-6181 Fax: (727)834-3969 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34655 Phone: (727)848-0185 Fax: (888)289-2159 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (10:00AM-8:00PM)
New Port Richey, FL 34653-3 Phone: (813)428-6181 Fax: (727)841-4354 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34654-2 Phone: (813)245-7326 Fax: (813)964-0453 Accepting New Members? Y More languages: Hours of Operation: Mon (9:00AM-8:30PM)
Pasco County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 73 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Jenine Martin LMHC Lori Norris LMHC Catherine Tindal LCSW Vera Vanden-Ballin LMFT
8132 King Helie Blvd. 10939 Kenmore Drive 8002 King Helie Blvd 8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (813)428-6181 Fax: (727)834-3969 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34654-6 Phone: (813)464-0846 Fax: (727)236-6742 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
William May LMFT Gloria Payne LMFT Joy Toscani LMHC Teresa VanPelt LMHC
8002 King Helie Blvd 38052 Meridian Ave. 8002 King Helie Blvd 2839 Blueslate Court
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jo Ann Misiaszek-Boser LCSW 10939 Kenmore Drive
Dade City, FL 33525-3811 Phone: (352)518-5232 Fax: (352)518-9458 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Maria Romanchak LMHC
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Fri (8:00AM-2:00PM); Tue (9:00AM-8:00PM); Thu (9:00AM- 6:00PM)
Michael Trese LMHC
8132 King Helie Blvd.
Land O Lakes, FL 34638-6086 Phone: (813)434-3468 Fax: (813)649-6375 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Heather Walsh LMHC
8132 King Helie Blvd.
New Port Richey, FL 34654-6 Phone: (813)464-0846 Fax: (727)236-6742 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-1 Phone: (813)428-6181 Fax: (727)834-3969 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-1 Phone: (813)428-6181 Fax: (727)834-3969 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Richard Nikla LMHC Erica Smith LMHC George Tsikos LCSW Janet Waye LCSW
5462 Grand Blvd Suite 104 New Port Richey, FL 34652-4 Phone: (727)741-2457 Fax: (727)939-0204 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (10:00AM- 9:00PM)
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4821 US Highway 19 Suite 4 New Port Richey, FL 34652-4 Phone: (727)849-4063 Fax: (727)816-1726 Accepting New Members? Y More languages: Hours of Operation: Mon,Fri (8:00AM-2:00PM); Tue (8:00AM-6:00PM); Thu (8:00AM- 3:00PM)
Pasco County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 74 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Crystal Willson LMHC
8002 King Helie Blvd
Jeanne Botz ARNP
21808 SR 54
James Foster ARNP
3142 Darlington Road
Debra Vangaasbeek ARNP 8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Holiday, FL 34691-3109 Phone: (727)943-4840 Fax: (727)943-4845 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Mary Zigouris LCSW
2087 Little Road
Trinity, FL 34655-4421 Phone: (727)849-4063 Fax: (727)816-1726 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:30AM- 6:00PM)
Cathleen Barrett ARNP
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jeanne Botz ARNP
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Roslyn Correll-Miller ARNP 21808 SR 54
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Don Davis ARNP
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Don Davis ARNP
21808 SR 54
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
James Foster ARNP
2425 Chatlin Road
Holiday, FL 34691-3366 Phone: (727)943-4847 Fax: (727)943-4852 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
Ipatia Magnus ARNP
13910 Fivay Road Suite 1 Hudson, FL 34667-7130 Phone: (727)863-0063 Fax: (727)862-7163 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
James Summerlin ARNP
14527 Seventh Street
Dade City, FL 33523-3102 Phone: (813)428-6181 Fax: (352)521-1477 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Fay Cannon MD
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
San Chang MD
21808 SR 54
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Brandon DeLiberato DO
21808 SR 54
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Pasco County
Nurse Practitioners
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 75 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Amarjeet Dhillon MD
4807 US Highway 19th Suite 204 New Port Richey, FL 34652-4 Phone: (727)847-7464 Fax: (727)847-0692 Accepting New Members? Y More languages: Hindi Hours of Operation: Mon,Tue,Wed,Fri (9:30AM- 5:00PM)
Praveen Gootam MD
21808 SR 54
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
David Harris DO
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gnaneswara Midathala MD 8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Sarah Fayad MD Ayman Hanna MD Jaffrey Hashimie MD Gerardo Olivera MD
21808 SR 54 8002 King Helie Blvd 21808 SR 54 14000 Fivay Road
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Hudson, FL 34667-7103 Phone: (772)335-4000 Fax: (772)398-3587 Accepting New Members? Y More languages: Spanish Hours of Operation:
Sarah Fayad MD Ayman Hanna MD Pradeep Marballi MD Shodhan Patel MD
8002 King Helie Blvd 21808 SR 54 8132 King Helie Blvd. 4800 Rowan Road
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-1 Phone: (813)428-6181 Fax: (727)834-3969 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653 Phone: (727)483-5912 Fax: (727)376-3652 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
Ericka Goodwin MD
21808 SR 54
Susan Hanna MD
7809 Massachusetts Ave
Gnaneswara Midathala MD 21808 SR 54
Avtar Saran MD
21808 SR 54
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
New Port Richey, FL 34653-3 Phone: (813)428-6181 Fax: (727)841-4354 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Pasco County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 76 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Kenneth Sladkin MD Rhonda Cameron PHD
21808 SR 54
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Julia Trice MD
37944 Pasco Ave Suite A Dade City, FL 33525-4202 Phone: (352)518-2000 Fax: (352)567-1974 Accepting New Members? Y More languages: Hours of Operation: Mon (7:00AM-7:00PM); Tue,Wed,Thu,Fri (7:00AM- 4:00PM)
8132 King Helie Blvd.
New Port Richey, FL 34653-1 Phone: (813)428-6181 Fax: (727)834-3969 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Julia Trice MD
21808 SR 54
Lutz, FL 33549-6923 Phone: (813)428-6164 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alexandr Zouev MD
8002 King Helie Blvd
New Port Richey, FL 34653-1 Phone: (727)841-4430 Fax: (727)841-4443 Accepting New Members? Y More languages: Hours of Operation:
Pasco County
Psychologists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 77 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Boley Centers Inc
445 31st Street N.
Directions for Mental Health 8823 115th Ave N.
Gulf Coast Jewish Fam Svcs 14041 Icot Blvd.
Access Community Services 1301 Seminole Blvd. Suite 111B Largo, FL 33770-8173 Phone: (727)754-4936 Fax: (866)496-4382 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
St Petersburg, FL 33713-760 Phone: (727)821-4819 Fax: (727)822-6240 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 4:30PM)
Boley Centers Inc
647 34th Ave S.
Largo, FL 33773-4922 Phone: (727)524-4464 Fax: (727)524-4491 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Directions for Mental Health 1437 S. Belcher Road
Clearwater, FL 33760-3701 Phone: (727)479-1800 Fax: (727)479-1248 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
PEMHS
401 16th Street N.
Adoption Related Svcs of Pinellas 3941 68th Ave N.
Pinellas Park, FL 33781-6136 Phone: (727)657-7761 Fax: (727)865-5178 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Adoption Related Svcs of Pinellas 3941 68th Ave N.
Pinellas Park, FL 33781-6136 Phone: (727)657-7761 Fax: (727)865-5178 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Barnes Holistic Counseling Therapy 2510 1st Ave. S.
Saint Petersburg, FL 33712-1 Phone: (727)289-1164 Fax: (866)788-1127 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Saint Petersburg, FL 33705-3 Phone: (727)824-5745 Fax: (727)895-7225 Accepting New Members? Y More languages: Hours of Operation:
Camelot Community Care Inc 4910-D Creekside Drive
Clearwater, FL 33760-4034 Phone: (727)593-0003 Fax: (727)593-0003 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Caring Community Counseling 3840 5th Ave. N.
Saint Petersburg, FL 33713-7 Phone: (727)367-2273 Fax: (727)800-6292 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (9:00AM-7:00PM)
Clearwater, FL 33764-2829 Phone: (727)524-4464 Fax: (727)524-4491 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Directions for Mental Health 8550 Ulmerton Road Suite 145 Largo, FL 33771-5357 Phone: (727)524-4464 Fax: (727)524-4491 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Families First of Florida LLC 5030 78th Street N. Suite 9 Pinellas Park, FL 33781-2406 Phone: (813)290-8560 Fax: (813)435-2033 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
St Petersburg, FL 33705-202 Phone: (727)545-6477 Fax: (727)545-6464 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
PEMHS
400 15th Street N.
St Petersburg, FL 33705-201 Phone: (727)545-6477 Fax: (727)545-6464 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (10:00AM-6:00PM)
PEMHS
1614 Palm Way
Largo, FL 33773-1866 Phone: (727)545-6477 Fax: (727)545-6464 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Pinellas County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 78 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
PEMHS Suncoast Center Suncoast Center Largo Medical Center
11254 58th Street N. 4024 Central Ave. 4010 Central Ave. 2025 Indian Rocks Road S.
Pinellas Park, FL 33782-2213 Phone: (727)545-6477 Fax: (727)545-6464 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
St Petersburg, FL 33711-123 Phone: (727)388-1220 Fax: (727)322-2157 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Fri (8:00AM- 5:00PM); Thu (8:00AM-8:00PM)
St Petersburg, FL 33711-123 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Fri (8:00AM-5:00PM); Tue,Wed,Thu (8:00AM-8:00PM)
Largo, FL 33774-1035 Phone: (727)581-9474 Fax: (727)587-7503 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Sequelcare of Florida Suncoast Center Suncoast Center Largo Medical Center
3491 Gandy Blvd Suite 201 Pinellas Park, FL 33781-2654 Phone: (727)547-0607 Fax: (727)547-6752 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
940 22nd Ave. S.
St Petersburg, FL 33705-293 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
3800 Central Ave.
St Petersburg, FL 33711-123 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
2191 9th Avenue North
Saint Petersburg, FL 33713 Phone: (727)588-5261 Fax: (727)327-5350 Accepting New Members? Y More languages: Spanish Hours of Operation:
St. Pete Behavioral Health Center 433 4th Street N.
Suncoast Center
928 22nd Ave. S.
Suncoast Center
2960 Roosevelt Blvd.
Morton Plant Hospital
300 Pinellas St
St Petersburg, FL 33701-280 Phone: (727)895-8499 Fax: (727)895-8497 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM); Sat (10:00AM-2:00PM)
St Petersburg, FL 33705-293 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Clearwater, FL 33760-1952 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Clearwater, FL 33756-3804 Phone: Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Suncoast Center Suncoast Center Suncoast Center St Anthony's Hospital
1001 16th Street S. 4050 Central Ave. 2188 58th Street N. 1200 7th Ave N
St Petersburg, FL 33705-223 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
St Petersburg, FL 33711-123 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Clearwater, FL 33760-3112 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Fri (8:00AM-5:00PM); Tue,Wed,Thu (8:00AM-8:00PM)
St Petersburg, FL 33705-130 Phone: (727)825-1100 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Pinellas County
Hospitals/Clinics
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 79 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
St. Anthonys Hospital
1200 7th Ave N
St Petersburg, FL 33705-130 Phone: (727)825-1100 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Miriam Bunton LCSW
8601-4th Street North Suite 312 Saint Petersburg, FL 33702 Phone: (727)744-4489 Fax: (813)854-1472 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Mary Fuller LMHC
40347 US Highway 19th N. Suite 103 Tarpon Springs, FL 34689-48 Phone: (727)330-8932 Fax: (727)772-8212 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Michelle Hart Aletkin LCSW 2461 Enterprise Road Suite C Clearwater, FL 33763-1726 Phone: (727)849-4063 Fax: (727)816-1726 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Kimberly Acheson LCSW
3941 68th Ave N.
Pinellas Park, FL 33781-6136 Phone: (727)657-7761 Fax: (727)865-5178 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM); Fri (9:00AM-2:00PM)
Jennifer Baptie LMHC
1106 Druid Road S. Suite 201 Clearwater, FL 33756-3807 Phone: (727)584-6266 Fax: (727)266-4972 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Angela Bulla LCSW
2270 Drew Street Suite C Clearwater, FL 33765-3344 Phone: (727)328-4672 Fax: (727)287-9302 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 7:00PM)
Louisa Clark LMHC
430 Athens Street
Tarpon Springs, FL 34689-31 Phone: (727)709-8964 Fax: (727)937-7330 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Charisse Diaz LMHC
31860 US Highway 19 N.
Palm Harbor, FL 34684-3713 Phone: (727)849-4063 Fax: (727)816-1726 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Sat (8:00AM- 5:00PM)
Kimberly Donat-Ali LCSW
6739 1st Ave. S.
St Petersburg, FL 33707-130 Phone: (727)341-1000 Fax: (727)341-1000 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 7:00PM); Fri (9:00AM-5:00PM)
Laurie Giancola LMHC
3941 68th Ave N.
Pinellas Park, FL 33781-6136 Phone: (727)657-7761 Fax: (727)865-5178 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Angela Gibson LCSW
10225 Ulmerton Road Suite 8B Largo, FL 33771-3522 Phone: (727)586-0636 Fax: (727)585-6287 Accepting New Members? Y More languages: Hours of Operation: Mon,Wed (7:30AM-7:30PM); Tue,Thu (10:00AM-7:00PM); Fri (10:00AM-4:00PM); Sat (8:00AM-
Sara Graff LCSW
1436 Bay Harbor Drive
Palm Harbor, FL 34685-3439 Phone: (727)754-4936 Fax: (866)496-4382 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Judy Howard LMHC
1210 66th Street N.
St Petersburg, FL 33710-622 Phone: (727)518-6444 Fax: (727)581-2678 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
Jennifer Ingram LMHC
2555 Enterprise Road Suite 11 Clearwater, FL 33763 Phone: (727)213-5379 Fax: (727)213-5370 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 8:00PM)
Jennifer Ingram LMHC
1301 Seminole Blvd Suite 103 Largo, FL 33770-8173 Phone: (727)213-5379 Fax: (727)213-5370 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 8:00PM)
Pinellas County
Masters Level
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 80 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Deborah Lewis LMHC Cynthia Maston LCSW Cynthia Maston LCSW Sharon Michaels LCSW
227 70th Street S. 3800 Central Ave. 2188 58th Street N. 1210 66th Street N.
Saint Petersburg, FL 33707-1 Phone: (727)586-0636 Fax: (727)585-6287 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 6:30PM)
St Petersburg, FL 33711-123 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Clearwater, FL 33760-3112 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
St Petersburg, FL 33710-622 Phone: (727)518-6444 Fax: (727)581-2678 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
Deborah Lewis LMHC Cynthia Maston LCSW Cynthia Maston LCSW Richard Morris LCSW
5100 78th Ave. N. Suite 7 Pinellas Park, FL 33781-2407 Phone: (727)586-0636 Fax: (727)585-6287 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 6:30PM)
4010 Central Ave.
St Petersburg, FL 33711-123 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
928 22nd Ave. S.
St Petersburg, FL 33705-293 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1301 Seminole Blvd Suite 103 Largo, FL 33770-8173 Phone: (727)213-5379 Fax: (727)213-5370 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (9:00AM-8:00PM)
Cynthia Maston LCSW Cynthia Maston LCSW Cynthia Maston LCSW Richard Morris LCSW
4024 Central Ave.
St Petersburg, FL 33711-123 Phone: (727)388-1220 Fax: (727)322-2157 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1301 Seminole Blvd. Suite 111B Largo, FL 33770-8173 Phone: (727)754-4936 Fax: (866)496-4382 Accepting New Members? Y More languages: Hours of Operation:
2960 Roosevelt Blvd.
Clearwater, FL 33760-1952 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
2555 Enterprise Road Suite 11 Clearwater, FL 33763 Phone: (727)213-5379 Fax: (727)213-5370 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 8:00PM)
Cynthia Maston LCSW Cynthia Maston LCSW Cynthia Maston LCSW Dolores Mortimer LMHC
940 22nd Ave. S. 1001 16th Street S. 4050 Central Ave. 2030 Main Street
St Petersburg, FL 33705-293 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
St Petersburg, FL 33705-223 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
St Petersburg, FL 33711-123 Phone: (727)327-7656 Fax: (727)322-2110 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Dunedin, FL 34698 Phone: (727)786-7951 Fax: (727)786-7951 Accepting New Members? Y More languages: Hours of Operation: Tue,Wed,Thu (10:00AM- 7:00PM); Fri (10:00AM-6:00PM); Sat (9:00AM-1:00PM)
Pinellas County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 81 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Cherlyl Oliver LMHC Carole Sharman LMHC Phyllis Dougherty ARNP Mary Grant ARNP
1210 66th Street N. 6440 1st Ave. N. 3941 68th Ave N. 1200 7th Ave N
St Petersburg, FL 33710-622 Phone: (727)518-6444 Fax: (727)581-2678 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
Saint Petersburg, FL 33710-8 Phone: (727)341-0097 Fax: (727)343-6419 Accepting New Members? Y More languages: Hours of Operation: Tue,Wed,Thu (8:00AM-4:00PM)
Pinellas Park, FL 33781-6136 Phone: (727)657-7761 Fax: (727)865-5178 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM); Fri (9:00AM-2:00PM)
Saint Petersburg, FL 33705-1 Phone: (727)825-1123 Fax: (727)825-1249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jennifer Paolillo LMHC Pamela Sherwin LCSW Phyllis Dougherty ARNP Jarryd Lunger ARNP
31860 US Highway 19 N.
Palm Harbor, FL 34684-3713 Phone: (727)849-4063 Fax: (727)816-1726 Accepting New Members? Y More languages: Hours of Operation: Mon,Fri (8:00AM-2:00PM); Tue (9:00AM-8:00PM); Thu (9:00AM- 6:00PM)
Tyne Pierce LMHC
51 S. Main Ave Suite 304 Clearwater, FL 33765-3952 Phone: (727)784-8244 Fax: (727)287-9302 Accepting New Members? Y More languages: Hours of Operation: Mon,Wed,Fri (8:00AM-9:00PM); Tue,Thu (8:00AM-8:00PM); Sat (8:00AM-5:00PM)
Nancy Russell LCSW
6737 1 Ave. S.
Saint Petersburg, FL 33707-1 Phone: (727)341-1000 Fax: (727)341-1000 Accepting New Members? Y More languages: Sign Hours of Operation: Tue,Fri (11:00AM-8:00PM); Sat (10:30AM-12:30PM)
560 Jackson Street N. Suite 302 Saint Petersburg, FL 33705-1 Phone: (727)849-4063 Fax: (727)816-1726 Accepting New Members? Y More languages: Hours of Operation: Mon,Wed (9:00AM-6:00PM); Thu (8:00AM-5:00PM); Fri (8:00AM-2:00PM)
Kelly Sisco LCSW
1301 Seminole Blvd Suite 103 Largo, FL 33770-8173 Phone: (727)213-5379 Fax: (727)213-5370 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Sat (9:00AM- 8:00PM)
Kelly Sisco LCSW
2555 Enterprise Road Suite 11 Clearwater, FL 33763 Phone: (727)213-5379 Fax: (727)213-5370 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 8:00PM)
1210 66th Street N.
St Petersburg, FL 33710-622 Phone: (727)518-6444 Fax: (727)581-2678 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Fri (9:00AM- 3:00PM)
James Foster ARNP
14041 Icot Blvd.
Clearwater, FL 33760-3701 Phone: (727)479-1800 Fax: (727)479-1248 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Allison Fuhr ARNP
1210 66th Street N.
St Petersburg, FL 33710-622 Phone: (727)518-6444 Fax: (727)581-2678 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
1200 7th Ave N
Saint Petersburg, FL 33705-1 Phone: (727)825-1123 Fax: (727)825-1249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Rachel Agustines MD
1210 66th Street N.
St Petersburg, FL 33710-622 Phone: (727)518-6444 Fax: (727)581-2678 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
Leonid Altshuler MD
1200 7th Ave N
Saint Petersburg, FL 33705-1 Phone: (727)825-1123 Fax: (727)825-1249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Pinellas County
Psychiatrists
Nurse Practitioners
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 82 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Jeffrey Alvaro MD
880 6th Street S. Suite 420 Saint Petersburg, FL 33701-4 Phone: (727)767-8477 Fax: (727)767-8244 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Theresa Clark MD
1200 7th Ave N
Saint Petersburg, FL 33705-1 Phone: (727)825-1123 Fax: (727)825-1249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Pragneshkumar Patel MD 1100 Clearwater Largo Rd
Largo, FL 33770 Phone: (727)518-6444 Fax: (727)581-2675 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Mark Simko MD
1106 Druid Road S. Suite 201 Clearwater, FL 33756-3807 Phone: (727)584-6266 Fax: (727)266-4972 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Francis Butler MD David Harris DO Kiran Rabheru MD Kelly Spence MD
100 Main Street Suite 203 Safety Harbor, FL 34695-366 Phone: (727)799-4150 Fax: (727)796-1845 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (10:00AM- 5:00PM)
1200 7th Ave N
Saint Petersburg, FL 33705-1 Phone: (727)825-1123 Fax: (727)825-1249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
601 Main Street
Dunedin, FL 34698-2848 Phone: (727)733-1111 Fax: (727)734-6887 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1200 7th Ave N
Saint Petersburg, FL 33705-1 Phone: (727)825-1123 Fax: (727)825-1249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Francis Butler MD Sarah Iannucci DO Mauro Rodriguez MD Ronald Taddeo MD
11254 58th Street N.
Pinellas Park, FL 33782-2213 Phone: (727)545-6477 Fax: (727)545-6464 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:00PM)
1200 7th Ave N
Saint Petersburg, FL 33705-1 Phone: (727)825-1123 Fax: (727)825-1249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
611 Druid Road E. Suite 506 Clearwater, FL 33756-3938 Phone: (727)600-8090 Fax: (727)600-8088 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Thu (8:00AM-5:30PM)
601 Main Street
Dunedin, FL 34698-2848 Phone: (727)733-1111 Fax: (727)734-6887 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Mark Cavitt MD Sabih Kayan MD Edmund Settle Jr MD Amy Tower MD
880 6th Street S. Suite 420 Saint Petersburg, FL 33701-4 Phone: (727)767-8477 Fax: (727)767-8244 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
1200 7th Ave N
Saint Petersburg, FL 33705-1 Phone: (727)825-1123 Fax: (727)825-1249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1200 7th Ave N
Saint Petersburg, FL 33705-1 Phone: (727)825-1123 Fax: (727)825-1249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
601 Main Street
Dunedin, FL 34698-2848 Phone: (727)733-1111 Fax: (727)734-6887 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Pinellas County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 83 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 05
Tanya Tucker MD Aja Meyer PHD
1200 7th Ave N
Saint Petersburg, FL 33705-1 Phone: (727)825-1123 Fax: (727)825-1249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
880 6th Street S. Suite 420 Saint Petersburg, FL 33701-4 Phone: (727)767-8477 Fax: (727)767-8244 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Alexandr Zouev MD Kirk Stokes PHD
1106 Druid Road S. Suite 201 Clearwater, FL 33756-3807 Phone: (727)584-6266 Fax: (727)266-4972 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1250 10th Street N.
St Petersburg, FL 33705-100 Phone: (727)823-7955 Fax: (866)575-0034 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (12:00PM- 5:00PM); Fri (12:00PM-2:00PM)
Gerard Boutin PHD Carlton Manor Inc
13787 Belcher Road S. Suite 140 Largo, FL 33771-4065 Phone: (727)518-7294 Fax: (727)584-4937 Accepting New Members? Y More languages: Italian Hours of Operation: Mon,Tue,Wed,Thu,Fri (6:00AM- 6:30PM)
45 Westwood Terrace N.
St Petersburg, FL 33710-832 Phone: (727)343-3662 Fax: (727)347-1649 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Alexander Gimon PHD
10225 Ulmerton Rd Suite 12B Largo, FL 33771-3520 Phone: (727)584-1551 Fax: (707)581-5107 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Pinellas County
Psychologists Therapeutic Group Homes
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 84 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Peace River Center
213 E. Orange Street
Wauchula, FL 33873-2934 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Tri-County Human Services Inc 115 K D Revell Road
Wauchula, FL 33873 Phone: (863)773-2226 Fax: (863)773-2497 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Hardee County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 85 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Peace River Center
106 N. Main Ave.
Lake Placid, FL 33852-2604 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon (8:00AM-12:00PM); Tue,Wed (1:00PM-5:00PM)
Peace River Center
950 County Rd 17-AW Avon Park, FL 33825-2164 Phone: (863)519-0575 Fax: (863)413-2719 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Peace River Center
7205 S. George Blvd.
Sebring, FL 33875-5847 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon (1:00PM-5:00PM); Tue,Wed (8:00AM-12:00PM); Thu-Fri (8:00AM-5:00PM)
Peace River Center
1968 Sebring Parkway
Sebring, FL 33870-1654 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (7:30AM- 6:00PM)
Tri-County Human Services Inc 100 W. College Drive
Avon Park, FL 33825-9348 Phone: (863)452-0106 Fax: (863)452-5376 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Rene Del-Sol LMHC
2523 US Highway 27 S. Suite 130 Avon Park, FL 33825 Phone: (863)452-0710 Fax: (863)452-0142 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Samuel Gray LMHC
2523 US Highway 27 S. Suite 130 Avon Park, FL 33825 Phone: (863)452-0710 Fax: (863)452-0142 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Amanda Hollywood LMHC 2523 US Highway 27 S. Suite 130 Avon Park, FL 33825 Phone: (863)452-0710 Fax: (863)452-0142 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Phillip Van Kleeck LMHC
2523 US Highway 27 S. Suite 130 Avon Park, FL 33825 Phone: (863)452-0710 Fax: (863)452-0142 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Susan Crum PSYD
4844 Sun N. Lake Blvd
Sebring, FL 33872-2110 Phone: (863)314-6765 Fax: (855)429-8888 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM); Sat (10:00AM-6:00PM)
Highlands County
Community Mental Health Centers
Masters Level Psychologists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 86 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Agency for Community Treatment Serv 4612 N 56 St
Tampa, FL 33610 Phone: (813)246-4899 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation:
Camelot Community Care Inc 1410 Tech Blvd
Tampa, FL 33619-7865 Phone: (813)635-9765 Fax: (813)635-9725 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Families First of Florida LLC 4902 Eisenhower Blvd Suite 315 Tampa, FL 33634-6310 Phone: (813)290-8560 Fax: (813)435-2033 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Plant City Healing Educational Alternatives 1001 E. Baker Street Suite 100 Plant City, FL 33563-3746 Phone: (813)754-5555 Fax: (813)754-5552 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Mental Health Care Inc.
2208 E Henry Ave
Mental Health Care Inc.
5800 Nebraka Ave.
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Mental Health Care Inc.
6220 N Nebraska Ave
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation:
Mental Health Care Inc.
2212-A Henry Ave.
Mental Health Care Inc.
2212 E. Henry Ave.
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Mental Health Care Inc.
10500 University Center Dr
Tampa, FL 33612-6490 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation:
Northside Behavioral Health Center 12512 Bruce B. Downs Blvd
Childrens Home Society
1515 Michelin Court
Lutz, FL 33549-7533 Phone: (813)949-8946 Fax: (813)740-4272 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Circle of Friends Services Inc. 13234 Telecom Drive Suite 114 Tampa, FL 32725-8016 Phone: (386)259-5413 Fax: (386)753-9265 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)233-2745 Accepting New Members? Y More languages: Spanish Hours of Operation:
Mental Health Care Inc.
5707 N. 22nd Street
Tampa, FL 33610-4350 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Mental Health Care Inc.
3107 N 50th St Ste A Tampa, FL 33619-2302 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation:
Tampa, FL 33612-9209 Phone: (813)977-8700 Fax: (813)971-2029 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:00AM- 6:00PM)
Phoenix Houses of Florida 5501 W. Waters Ave. Suite 406 Tampa, FL 33634-1229 Phone: (813)881-1000 Fax: (813)886-2791 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (10:00AM- 9:00PM)
Hillsborough County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 87 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Phoenix Houses of Florida 510 Vonderburg Drive Suite 301 Brandon, FL 33511-6072 Phone: (813)881-1000 Fax: (813)689-2856 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Wed,Thu (9:00AM- 8:00PM); Tue (8:00AM-8:00PM); Fri (9:00AM-6:00PM)
Solutions Counseling Center of Tamp 400 E MLK Jr. Blvd 107 Tampa, FL 33603-3866 Phone: (813)442-7505 Fax: (813)769-9834 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Sat (9:00AM- 5:30PM); Fri (9:00AM-2:00PM)
Success 4 Kids & Families Inc 2902 N Armenia Ave
Tampa, FL 33607-1661 Phone: (813)871-7412 Fax: (813)490-5495 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
The Chrysalis Center
812 West Dr. MLK Blvd. Suite 203 Tampa, FL 33603-3338 Phone: (813)443-4827 Fax: (813)443-4828 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:30PM)
The Chrysalis Center
6800 N. Dale Mabry HWY Suite 164 Tampa, FL 33614-3979 Phone: (954)587-1008 Fax: (954)337-0938 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:30PM)
Brandon Regional Hospital 119 Oakfield Drive
Brandon, FL 33511-5779 Phone: (813)681-5551 Fax: (813)571-5311 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Memorial Hospital of Tampa 2901 Swann Ave.
Tampa, FL 33609-4056 Phone: (813)873-6400 Fax: (813)873-6469 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Morton Plant North Bay
21808 State Road 54
Lutz, FL 33549-6923 Phone: Fax: Accepting New Members? Y More languages: Hours of Operation:
St. Josephs Hospital INC
4918 North Habana Ave
Tampa, FL 33614-6815 Phone: (813)852-3504 Fax: Accepting New Members? Y More languages: Creole Spanish Hours of Operation:
St. Josephs Hospital INC
3001 W Dr MLK Jr Blvd
Tampa, FL 33607-6307 Phone: (813)852-3504 Fax: Accepting New Members? Y More languages: Creole Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Tampa Community Hospital 6001 Webb Road
Tampa, FL 33615 Phone: (813)888-7060 Fax: (813)887-5112 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Kimberly Acheson LCSW
14614 Chatsworth Manor Cir
Tampa, FL 33626-3304 Phone: (813)727-0264 Fax: (813)792-5272 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Elizabeth Acker LCSW
1211 N. Westshore Blvd. Suite 100 Tampa, FL 33607-4601 Phone: (727)409-1750 Fax: (727)524-1332 Accepting New Members? Y More languages: Hours of Operation: Tue,Thu (8:00AM-4:00PM)
Emeka Anyiam LMFT
13234 Telecom Drive Suite 114 Tampa, FL 32725-8016 Phone: (386)259-5413 Fax: (386)753-9265 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Mary Blount LCSW
8909 Regents Park Drive Suite 420 Tampa, FL 33647-3432 Phone: (813)416-1454 Fax: (813)978-9744 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (10:00AM- 7:00PM); Fri (10:00AM-4:00PM)
Joel Brooks LCSW
3500 E. Fletcher Ave Suite 501 Tampa, FL 33613-4709 Phone: (813)978-3960 Fax: (813)978-0475 Accepting New Members? Y More languages: Hours of Operation: Mon (4:00PM-7:00PM); Tue,Wed,Thu (10:00AM-7:00PM)
Hillsborough County
Hospitals/Clinics
Masters Level
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 88 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Sonya Bufe LMHC
2727 W. Martin Luther King J Suite 640 Tampa, FL 33607-6383 Phone: (813)872-7582 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Mary Cahill LCSW
2529 W. Busch Blvd. Suite 800 Tampa, FL 33618-4524 Phone: (813)935-6060 Fax: (813)933-8096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Mark Davis LCSW
12960 N. Dale Mabury Suite 312-B Tampa, FL 33624-1842 Phone: (813)968-3417 Fax: (813)968-5051 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed (8:00AM- 5:00PM); Thu (8:30AM-5:30PM); Fri (8:00AM-11:00AM)
Katherine Dickson LCSW
126 Lithia Pinecrest Road
Brandon, FL 33511-5347 Phone: (813)689-8828 Fax: (813)689-8802 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Delilah Fortenberry LMHC 5800 Nebraka Ave.
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Delilah Fortenberry LMHC 1001 E. Baker Street Suite 100 Plant City, FL 33563-3746 Phone: (813)754-5555 Fax: (813)754-5552 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Kristina Hager LMHC
2909 West Bay to Bay Blvd Suite 200 Tampa, FL 33629 Phone: (813)381-5200 Fax: (813)381-5200 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Mahmoud Hassan LMHC
8910 N. Dale Mabry Highway Suite 37 Tampa, FL 33614-1591 Phone: (813)389-3932 Fax: (813)933-2100 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (8:30AM-5:00PM)
Jill Cantrell LMHC Sara Dobbs LCSW Yurelis Ginarte LMHC Nelida Henderson LMHC
135 N. Moom Ave. 1501 LaJolla Ave 126 Lithia Pinecrest Road 10500 University Center Dr
Brandon, FL 33510-4419 Phone: (813)689-8828 Fax: (813)689-8802 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Sun City Center, FL 33573-72 Phone: (813)601-5189 Fax: (813)715-9798 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (10:00AM-5:00PM)
Brandon, FL 33511-5347 Phone: (813)689-8828 Fax: (813)689-8802 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Tampa, FL 33612-6490 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Anthia Casanova LMHC Chad Exceen LMHC Meredith Grau LMHC Nelida Henderson LMHC
1936 W. Dr. MLK Jr. Blvd. Suite 206 Tampa, FL 33607-6530 Phone: (813)802-2025 Fax: (888)357-6132 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
2727 W. Martin Luther King J Suite 640 Tampa, FL 33607-6383 Phone: (813)872-7582 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
126 Lithia Pinecrest Road
Brandon, FL 33511-5347 Phone: (813)689-8828 Fax: (813)689-8802 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
2208 E Henry Ave
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)233-2745 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Hillsborough County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 89 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Nelida Henderson LMHC Nelida Henderson LMHC Janice Jadlowski LCSW Lisa Landwirth LCSW
2212 E. Henry Ave.
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
3107 N 50th St Ste A Tampa, FL 33619-2302 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
2727 W. Martin Luther King J Suite 640 Tampa, FL 33607-6383 Phone: (813)872-7582 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
7827 N. Armenia Ave.
Tampa, FL 33604-3849 Phone: (813)361-4676 Fax: (813)935-5325 Accepting New Members? Y More languages: Hours of Operation: Tue (9:00AM-1:00PM); Thu-Fri (9:00AM-2:00PM)
Nelida Henderson LMHC
5707 N. 22nd Street
Theresa Henderson LCSW 1210 Millennium Pkwy
George Kastner LCSW
3812 W. Linebaugh Ave
Lisa Landwirth LCSW
7827 N. Armenia Ave.
Tampa, FL 33610-4350 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Brandon, FL 33511-4896 Phone: (813)716-0585 Fax: (813)814-0448 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Tampa, FL 33618-8702 Phone: (813)515-5978 Fax: (813)515-5979 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (10:00AM- 8:00PM)
Tampa, FL 33604-3849 Phone: (813)361-4676 Fax: (813)935-5325 Accepting New Members? Y More languages: Hours of Operation: Tue,Wed (4:00PM-7:00PM); Thu- Fri (9:00AM-2:00PM)
Nelida Henderson LMHC
5800 Nebraka Ave.
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Theresa Henderson LCSW 6601 Memorial Highway Suite 208 Tampa, FL 33615-4501 Phone: (813)716-0585 Fax: (813)814-0448 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Varghese Kodiyan LCSW
303 N Plant Ave
Plant City, FL 33563-4730 Phone: (813)245-7326 Fax: (813)964-0453 Accepting New Members? Y More languages: Hours of Operation:
Lisa Landwirth LCSW
7827 N. Armenia Ave.
Tampa, FL 33604-3849 Phone: (813)361-4676 Fax: (813)935-5325 Accepting New Members? Y More languages: Hours of Operation: Tue,Wed (9:00AM-1:00PM); Thu- Fri (9:00AM-2:00PM)
Nelida Henderson LMHC Judy Howard LMHC Varghese Kodiyan LCSW Lisa Landwirth LCSW
6220 N Nebraska Ave 6301 Memorial Highway 1415 E. 124th Ave 7827 N. Armenia Ave.
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Tampa, FL 33615-4573 Phone: (727)518-6444 Fax: (727)581-2675 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Tampa, FL 33612-5647 Phone: (813)245-7326 Fax: (813)964-0453 Accepting New Members? Y More languages: Hours of Operation: Tue,Thu (8:00AM-8:30PM)
Tampa, FL 33604-3849 Phone: (813)361-4676 Fax: (813)935-5325 Accepting New Members? Y More languages: Hours of Operation: Tue (4:00PM-7:00PM); Thu-Fri (9:00AM-2:00PM)
Hillsborough County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 90 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Marta Marshall LMHC Magdalena Neves LMHC Jennifer Paolillo LMHC Ramon Recio LMHC
3802 Ehrlich Road Suite 101 Tampa, FL 33624-2330 Phone: (813)908-2228 Fax: (813)908-5551 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 8:00PM)
126 Lithia Pinecrest Road
Brandon, FL 33511-5347 Phone: (813)689-8828 Fax: (813)689-8802 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
2727 W. Martin Luther King J Suite 640 Tampa, FL 33607-6383 Phone: (813)872-7582 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8910 N. Dale Mabry Highway Suite 37 Tampa, FL 33614-1591 Phone: (813)389-3932 Fax: (813)933-2100 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Karol McGinn LMHC Francine Odio LMHC Adrianna Peguero LMHC Jennifer Roth LCSW
3802 Ehrlich Rd Suite 101 Tampa, FL 33624-2330 Phone: (813)908-2228 Fax: (813)908-5551 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (11:00AM- 7:00PM)
2901 W. St. Isabel Street Suite A-1 Tampa, FL 33607-6350 Phone: (888)666-3089 Fax: (888)666-9870 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (9:00AM-7:00PM)
2727 W. Martin Luther King J Suite 640 Tampa, FL 33607-6383 Phone: (813)872-7582 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
17407 Bridge Hill Court Suite A Tampa, FL 33647-3522 Phone: (813)872-1505 Fax: (813)971-1804 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 1:00PM)
Sharon Michaels LCSW Cherlyl Oliver LMHC Mildred Phillips LCSW Clare Simcox LMHC
6301 Memorial Highway 6301 Memorial Highway 4907 Van Dyke Road 126 Lithia Pinecrest Road
Tampa, FL 33615-4573 Phone: (727)518-6444 Fax: (727)581-2675 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Tampa, FL 33615-4573 Phone: (727)518-6444 Fax: (727)581-2675 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Lutz, FL 33558-4813 Phone: (813)962-1018 Fax: (813)265-3966 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Brandon, FL 33511-5347 Phone: (813)689-8828 Fax: (813)689-8802 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Kris Mulhollen LMHC Billie Olsen LCSW Teresa Poppas LCSW Alexander Smith LCSW
126 Lithia Pinecrest Road
Brandon, FL 33511-5347 Phone: (813)689-8828 Fax: (813)689-8802 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
7823 N Dale Mabry Suite 104 Tampa, FL 33614-3207 Phone: (813)957-3244 Fax: (813)315-6877 Accepting New Members? Y More languages: Hours of Operation: Tue,Wed,Thu,Fri (10:00AM- 6:00PM)
2727 W. Martin Luther King J Suite 640 Tampa, FL 33607-6383 Phone: (813)872-7582 Fax: Accepting New Members? Y More languages: Hours of Operation:
8910 W. Dale Mabry Highwa Suite 10 Tampa, FL 33614-1580 Phone: (813)935-6529 Fax: (813)931-4609 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Hillsborough County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 91 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Elena Spanos LCSW Reginald Vilmenay LCSW Jessica Herron ARNP Jing Bu MD
401 N. Parsons Ave Suite 107A Brandon, FL 33510 Phone: (813)967-1726 Fax: (813)435-2038 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
220 W Brandon Blvd Suite 203 Brandon, FL 33511 Phone: (813)892-6203 Fax: (813)381-3909 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (8:00AM-8:00PM)
107 N. Alexander Street
Plant City, FL 33563-4831 Phone: (813)754-1496 Fax: (813)754-2553 Accepting New Members? Y More languages: Hours of Operation:
4918 N Habana Ave
Tampa, FL 33614-6815 Phone: (813)870-4403 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Johnna Stilson LMHC
2909 West Bay to Bay Blvd Suite 200 Tampa, FL 33629 Phone: (813)381-5200 Fax: (813)381-5200 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Milton Teixeira LMHC
3802 Ehrlich Rd Suite 101 Tampa, FL 33624-2330 Phone: (813)908-2228 Fax: (813)908-5551 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (10:00AM- 9:00PM)
Jason Tucker LMHC
4902 Eisenhower Blvd Suite 315 Tampa, FL 33634-6310 Phone: (813)290-8560 Fax: (813)435-2033 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Nancy Witter LMHC
4902 Eisenhower Blvd Suite 315 Tampa, FL 33634-6310 Phone: (813)290-8560 Fax: (813)435-2033 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Phyllis Dougherty ARNP
6301 Memorial Highway
Tampa, FL 33615-4573 Phone: (727)518-6444 Fax: (727)581-2675 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 3:00PM)
Allison Fuhr ARNP
6301 Memorial Highway
Tampa, FL 33615-4573 Phone: (727)518-6444 Fax: (727)581-2675 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Rachel Agustines MD
6301 Memorial Highway
Tampa, FL 33615-4573 Phone: (727)518-6444 Fax: (727)581-2675 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Mara Balda MD
508 S. Habana Ave. Suite 380 Tampa, FL 33609-4144 Phone: (813)872-0457 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Andrea Brownridge MD
4918 N Habana Ave
Tampa, FL 33614-6815 Phone: (813)870-4403 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
San Chang MD
4918 N Habana Ave
Tampa, FL 33614-6815 Phone: (813)870-4403 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jeffrey Daniel DO
508 S. Habana Ave. Suite 380 Tampa, FL 33609-4144 Phone: (813)872-0457 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jamie Fernandez MD
508 S. Habana Ave. Suite 380 Tampa, FL 33609-4144 Phone: (813)872-0457 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Hillsborough County
Nurse Practitioners
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 92 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Brian Gadbois MD Jaffrey Hashimie MD Jaffrey Hashimie MD Amy Hernandez MD
508 S. Habana Ave. Suite 380 Tampa, FL 33609-4144 Phone: (813)872-0457 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Sat-Sund (8:00AM-12:00AM)
2212 E. Henry Ave.
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
10500 University Center Dr
Tampa, FL 33612-6490 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
2212 E. Henry Ave.
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
Kimberly Hartney MD Jaffrey Hashimie MD Amy Hernandez MD Amy Hernandez MD
508 S. Habana Ave. Suite 380 Tampa, FL 33609-4144 Phone: (813)872-0457 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
3107 N 50th St Ste A Tampa, FL 33619-2302 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
6220 N Nebraska Ave
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
10500 University Center Dr
Tampa, FL 33612-6490 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Jaffrey Hashimie MD Jaffrey Hashimie MD Amy Hernandez MD Amy Hernandez MD
6220 N Nebraska Ave
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
5707 N. 22nd Street
Tampa, FL 33610-4350 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
3107 N 50th St Ste A Tampa, FL 33619-2302 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
2208 E Henry Ave
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)233-2745 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Jaffrey Hashimie MD Jaffrey Hashimie MD Amy Hernandez MD Amy Hernandez MD
2208 E Henry Ave 5800 Nebraka Ave. 5707 N. 22nd Street 5800 Nebraka Ave.
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)233-2745 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Tampa, FL 33610-4350 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Hillsborough County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 93 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Ingrid Hernandez Selman MD 2727 W. Martin Luther King J Suite 640 Tampa, FL 33607-6383 Phone: (813)872-7582 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Stacie Lauro-Berlowitz MD 224 S. Moon Ave.
Brandon, FL 33511-5704 Phone: (813)685-0500 Fax: (813)681-8675 Accepting New Members? Y More languages: Hours of Operation: Mon (8:30AM-4:00PM); Tue,Thu (8:30AM-2:00PM)
Patricia Michel-Garrison DO 3107 N 50th St Ste A Tampa, FL 33619-2302 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Patricia Michel-Garrison DO 6220 N Nebraska Ave
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Kazi Hossain MD
300 Pinellas Street
Maykel Luna- Concepcion MD 300 Pinellas Street
Patricia Michel-Garrison DO 10500 University Center Dr
Nestor Milian MD
4918 N Habana Ave
Tampa, FL 33614-6815 Phone: (727)298-6451 Fax: (727)462-7692 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Tampa, FL 33614-6815 Phone: (727)298-6451 Fax: (727)462-7692 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Tampa, FL 33612-6490 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
Tampa, FL 33614-6815 Phone: (813)870-4403 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Troy Howell MD
508 S. Habana Ave. Suite 380 Tampa, FL 33609-4144 Phone: (813)872-0457 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Patricia Michel-Garrison DO 2212 E. Henry Ave.
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
Patricia Michel-Garrison DO 2208 E Henry Ave
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)233-2745 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Mina Oza MD
12512 Bruce B. Downs Blvd
Tampa, FL 33612-9209 Phone: (813)977-8700 Fax: (813)971-2029 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM); Fri (8:00AM-5:00PM)
Edwin Jackson MD
2727 W. Martin Luther King J Suite 640 Tampa, FL 33607-6383 Phone: (813)872-7582 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Patricia Michel-Garrison DO 5800 Nebraka Ave.
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Patricia Michel-Garrison DO 5707 N. 22nd Street
Tampa, FL 33610-4350 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Kirtikumar Pandya MD
4918 N Habana Ave
Tampa, FL 33614-6815 Phone: (813)870-4403 Fax: Accepting New Members? Y More languages: Gujarati Hindi Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Hillsborough County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 94 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Pragneshkumar Patel MD 3107 N 50th St Ste A Tampa, FL 33619-2302 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Pragneshkumar Patel MD 5800 Nebraka Ave.
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
John Pierson MD
300 Pinellas Street
Tampa, FL 33614-6815 Phone: (727)298-6451 Fax: (727)462-7692 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Tahirin Artreches PSYD
2909 West Bay to Bay Blvd Suite 200 Tampa, FL 33629 Phone: (813)381-5200 Fax: (813)381-5200 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Pragneshkumar Patel MD 6301 Memorial Highway
Tampa, FL 33615-4573 Phone: (727)518-6444 Fax: (727)581-2675 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Pragneshkumar Patel MD 10500 University Center Dr
Tampa, FL 33612-6490 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Brie Pulas MD
2727 W. Martin Luther King J Suite 640 Tampa, FL 33607-6383 Phone: (813)872-7582 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Rosimeri Clements PSYD
801 North Point Pkwy Suite 42 West Palm Beach, FL 33407- Phone: (407)804-8975 Fax: (407)650-3152 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (10:00AM- 5:00PM)
Pragneshkumar Patel MD 6220 N Nebraska Ave
Tampa, FL 33604-7128 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Pragneshkumar Patel MD 5707 N. 22nd Street
Tampa, FL 33610-4350 Phone: (813)272-2244 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Brie Pulas MD
4918 N Habana Ave
Tampa, FL 33614-6815 Phone: (813)870-4403 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Katherine Hittel PSYD
2909 West Bay to Bay Blvd Suite 200 Tampa, FL 33629 Phone: (813)381-5200 Fax: (813)381-5200 Accepting New Members? Y More languages: Hours of Operation:
Pragneshkumar Patel MD 2208 E Henry Ave
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)233-2745 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:00PM)
Pragneshkumar Patel MD 2212 E. Henry Ave.
Tampa, FL 33610-4433 Phone: (813)272-2958 Fax: (813)272-3766 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
Edmund Settle Jr MD
11428 N 53rd Street
Tampa, FL 33617-2216 Phone: (813)374-9416 Fax: (813)443-5795 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Lamar Ingulli PSYD
2909 West Bay to Bay Blvd Suite 200 Tampa, FL 33629 Phone: (813)381-5200 Fax: (813)381-5200 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Hillsborough County
Psychologists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 95 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Diane Koch PHD David Richter PHD Rochelle Taormina PHD
10549 N. Florida Ave Suite G Tampa, FL 33612 Phone: (813)399-1625 Fax: (813)570-7939 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
108 Mason Street
Brandon, FL 33511-5210 Phone: (813)681-7441 Fax: (813)689-3815 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (1:30PM- 6:30PM); Sat (12:30PM-4:30PM)
1463 Oakfield Drive Suite 109 Brandon, FL 33511-3893 Phone: (813)992-1880 Fax: (813)235-4181 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 7:00PM)
Magda Marques Lopez PSYD 2909 West Bay to Bay Blvd Suite 200 Tampa, FL 33629 Phone: (813)381-5200 Fax: (813)381-5200 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Abigail Ritchie PSYD
2909 West Bay to Bay Blvd Suite 200 Tampa, FL 33629 Phone: (813)381-5200 Fax: (813)381-5200 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Valeria Moore PSYD Mark Sinz PSYD
300 Pinellas Street 300 Pinellas Street
Tampa, FL 33614-6815 Phone: (727)298-6451 Fax: (727)462-7692 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Tampa, FL 33614-6815 Phone: (727)298-6451 Fax: (727)462-7692 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Daniel Patz PSYD Carrie Springer PHD
2901 W. St. Isabel Street Suite A-1 Tampa, FL 33607-6350 Phone: (888)666-3089 Fax: (888)666-9870 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (9:00AM-7:00PM)
411 Lithia Pinecrest Rod
Brandon, FL 33511-6138 Phone: (941)704-6668 Fax: (813)704-4976 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Hillsborough County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 96 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Centerstone of Florida
5214 4th Avenue Circle East
Bradenton, FL 34208 Phone: (941)782-4150 Fax: (941)782-4104 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Centerstone of Florida
379 6th Avenue West
Bradenton, FL 34205-8820 Phone: (941)782-4150 Fax: (941)782-4104 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Centerstone of Florida
2020 26th Ave E
Bradenton, FL 34208-7753 Phone: (941)782-4150 Fax: (941)782-4104 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Centerstone of Florida
2703 19th Street Ct E.
Bradenton, FL 34208-7605 Phone: (941)782-4600 Fax: (941)782-4104 Accepting New Members? Y More languages: Spanish Hours of Operation:
Kin-Ship Services
515 27 Street East Suite 3 Bradenton, FL 34208-1879 Phone: (941)748-2937 Fax: (941)748-2697 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Manatee County Rural Health Serv 700 8th Ave West Suite 101 Palmetto, FL 34221 Phone: (941)776-4000 Fax: (941)845-3249 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Manatee County Rural Health Serv 5325 26th Street W.
Bradenton, FL 34207-3012 Phone: (941)752-7173 Fax: (941)567-6277 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Manatee County Rural Health Serv 1312 E. Manatee Ave
Bradenton, FL 34208-1358 Phone: (941)752-7173 Fax: (941)567-6277 Accepting New Members? Y More languages: Hours of Operation:
Sarah Allen LCSW
3823 E. State Road 64
Bradenton, FL 34208 Phone: (941)745-5111 Fax: (941)745-5667 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Thomas Clyburn LMHC
3890 East SR64 Suite 107 Bradenton, FL 34208 Phone: (941)224-3800 Fax: (941)745-1630 Accepting New Members? Y More languages: Hours of Operation: Mon (9:30AM-9:00PM); Tue (10:30AM-8:30PM); Fri (4:00PM- 6:00PM); Sat (9:00AM-1:00PM)
Virginia Gibala LMHC
3823 E. State Road 64
Bradenton, FL 34208 Phone: (941)745-5111 Fax: (941)745-5667 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Roxanne Pratt LMHC
3823 E. State Road 64
Bradenton, FL 34208 Phone: (941)745-5111 Fax: (941)745-5667 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00AM)
Janell Stallworth LMHC
8051 North Tamiami Trail E2 Box 37 Sarasota, FL 34243-2000 Phone: (941)822-8174 Fax: (941)822-8174 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM); Sat (10:00AM-2:00PM)
Keith Van Leuven LMHC
1020 4th Street West
Palmetto, FL 34221-5002 Phone: (941)722-7508 Fax: (941)729-0380 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Kathleen White LMHC
3823 E. State Road 64
Bradenton, FL 34208 Phone: (941)745-5111 Fax: (941)745-5667 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Richard James MD
4236 59th Street W.
Bradenton, FL 34209-6664 Phone: (941)794-6617 Fax: (941)795-7536 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Manatee County
Community Mental Health Centers
Federally Qualified Health Center
Masters Level
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 97 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Joseph Padronaggio PSYD 4301 32nd St West Suite E7 Bradenton, FL 34205 Phone: (941)756-7000 Fax: Accepting New Members? Y More languages: Hours of Operation: Thu (9:00AM-7:00PM)
Palm Shores Behavioral Health Cente 1324 37th Ave. E.
Bradenton, FL 34208-4555 Phone: (941)792-2222 Fax: (941)761-1632 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Palm Shores Behavioral Health Cente 1324 37th Ave. E.
Bradenton, FL 34208-4555 Phone: (941)792-2222 Fax: (941)761-1632 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Manatee County
Psychologists
Statewide Inpatient Psychiatric Programs
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 98 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Peace River Center
1010 Main St.
Peace River Center
1835 N. Gilmore Ave.
Peace River Center
715 N. Lake Ave.
Childrens Home Society
1010 E. Rose Street
Lakeland, FL 33801-2016 Phone: (863)413-3126 Fax: (321)397-3016 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Lakeland, FL 33801 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Peace River Center
1255 Golfview Ave.
Lakeland, FL 33805-0405 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (7:30AM- 5:00PM); Fri (7:30AM-12:00PM)
Peace River Center
3241 Lakeland Hills Blvd
Lakeland, FL 33801-1908 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (7:30AM- 5:00PM); Fri (7:30AM-12:00PM)
Peace River Center
722 E. Myrtle Street
Coastal Mental Health Center 801 S. Florida Ave Suite 8 Lakeland, FL 33810-5242 Phone: (800)614-4124 Fax: (888)217-4124 Accepting New Members? Y More languages: Spanish Hours of Operation:
Bartow, FL 33830-6736 Phone: (860)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (7:30AM- 5:30PM)
Peace River Center
1831 N. Crystal Lake Dr
Lakeland, FL 33805-2266 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (7:30AM- 5:00PM); Fri (7:30AM-12:00PM)
Peace River Center
600 El Paseo
Lakeland, FL 33801-1850 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Peace River Center
1239 E. Main Street
Families First of Florida LLC 3020 S. Florida Ave Suite 201 Lakeland, FL 33634-6310 Phone: (813)290-8560 Fax: (863)583-0392 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Lakeland, FL 33801 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Peace River Center
1831 N. Gilmore Ave.
Lakeland, FL 33805-4521 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:00PM)
Peace River Center
621 N. Lake Parker Ave.
Bartow, FL 33830-5058 Phone: (860)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Tri-County Human Services Inc 5421 U.S. Highway 98th S.
Peace River Center
1825 N. Gilmore Ave.
Lakeland, FL 33805-3018 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lakeland, FL 33801 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lakeland, FL 33801-2040 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Highland City, FL 33846 Phone: (863)701-7373 Fax: (863)701-0404 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Polk County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 99 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Tri-County Human Services Inc 759 Carroll Ave
Winter Heaven, FL 33880 Phone: (863)299-7003 Fax: (863)297-8013 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Winter Haven Hospital
200 Ave. F NE
Winter Haven, FL 33881-413 Phone: (863)293-1121 Fax: (863)291-6753 Accepting New Members? Y More languages: Spanish Creole Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Jason Tucker LMHC
3020 S. Florida Ave Suite 201 Lakeland, FL 33634-6310 Phone: (813)290-8560 Fax: (863)583-0392 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Enrique Galura MD
200 Ave F NE
Winter Haven, FL 33881-413 Phone: (863)293-1121 Fax: (863)294-7064 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Tri-County Human Services Inc 650 Ave. K NW
Winter Haven, FL 33881 Phone: (863)709-9392 Fax: (863)294-1600 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Tri-County Human Services Inc 2725 Highway 60th E.
Barto, FL 33830 Phone: (863)533-5860 Fax: (863)519-6983 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Tri-County Human Services Inc 1409 Meadowbrook Ave
Lakeland, FL 33803-2528 Phone: (863)709-8543 Fax: (863)688-2520 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Donna Grosser LMHC
65 3rd Street NW Suite 201 Winter Haven, FL 33881 Phone: (863)293-1744 Fax: Accepting New Members? Y More languages: Hours of Operation:
Kevin Hull LMHC
6700 S Florida Ave Suite 29 Lakeland, FL 33813-3327 Phone: (863)644-8241 Fax: (863)644-9025 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alicia Olivares LMHC
360 S. 10th Street
Haines City, FL 33844 Phone: (321)442-6665 Fax: (800)883-7015 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 7:00PM)
Marcus Robinson ARNP
200 Ave F NE
Winter Haven, FL 33881-413 Phone: (863)293-1121 Fax: (863)294-7064 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Arvinder Gagneja MD
200 Ave F NE
Winter Haven, FL 33881-413 Phone: (863)293-1121 Fax: (863)294-7064 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Troy Howell MD
1831 N. Crystal Lake Dr
Lakeland, FL 33801 Phone: (863)519-0575 Fax: (863)582-9251 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
200 Ave F NE
Winter Haven, FL 33881-413 Phone: (863)293-1121 Fax: (863)294-7064 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Vidyasagar Vangala MD
2504 Sand Mine Road
Davenport, FL 33897-3402 Phone: (863)419-7645 Fax: (863)419-7655 Accepting New Members? Y More languages: Hindi Telugu Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 4:30PM)
Polk County
Masters Level Nurse Practitioners
Psychiatrists
Hospitals/Clinics
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 100 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 06
Gail Wainger MD
200 Ave F NE
Jeanene Robinson-Kyles PHD 505 Martin L. King Jr Ave.
Winter Haven, FL 33881-413 Phone: (863)293-1121 Fax: (863)294-7064 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Lakeland, FL 33815-1527 Phone: (863)398-6748 Fax: (863)688-3159 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:30PM)
George Winny MD
1201 1st Street S.
Winter Haven, FL 33880-390 Phone: (863)297-1702 Fax: (863)291-5930 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
George Winny MD
200 Ave F NE
Winter Haven, FL 33881-413 Phone: (863)293-1121 Fax: (863)294-7064 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
George Winny MD
200 Ave. F NE
Winter Haven, FL 33881-413 Phone: (863)293-1121 Fax: (863)291-6753 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Polk County
Psychologists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 101 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Aspire Health Partners Inc 3905 Grisson Pkwy
Cocoa, FL 32926-3669 Phone: (321)637-1866 Fax: (321)634-3539 Accepting New Members? Y More languages: Spanish Hours of Operation:
Aspire Health Partners Inc 4670 Lipscomb St N.E. Suite II Palm Bay, FL 32905-2927 Phone: (321)726-2889 Fax: (321)726-2893 Accepting New Members? Y More languages: Spanish Hours of Operation:
Behavior Services of Brevard Inc. 550 Solutions Way
Rockledge, FL 32955-3620 Phone: (321)639-9800 Fax: (321)639-6007 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Childrens Home Society
326 Croton Road
Melbourne, FL 32935-6340 Phone: (321)752-3170 Fax: (321)752-3179 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Circles of Care
880 Airport Road
Melbourne, FL 32901-2909 Phone: (321)722-5200 Fax: (321)952-6010 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat-Sund (12:00AM- 11:59PM)
Circles of Care
6700 S. Washington Ave.
Titusville, FL 32780-8050 Phone: (321)269-4590 Fax: (321)952-6010 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat-Sund (12:00AM- 11:59PM)
Circles of Care
2225 S. Babcock Street
Melbourne, FL 32901-5305 Phone: (321)676-1260 Fax: (321)953-7510 Accepting New Members? Y More languages: Hours of Operation:
Circles of Care
2020 Commerce Drive
Melbourne, FL 32904-2335 Phone: (321)952-6000 Fax: (321)952-6010 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat-Sund (12:00AM- 11:59PM)
Circles of Care
2000 Commerce Drive
Melbourne, FL 32904-2335 Phone: (321)676-6650 Fax: (321)953-7510 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat-Sund (12:00AM- 11:59PM)
Circles of Care
1770 Cedar Street
Rockledge, FL 32955-3133 Phone: (321)890-1500 Fax: (321)952-6010 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat-Sund (12:00AM- 11:59PM)
Circles of Care
400 E. Sheridan Road
Melbourne, FL 32901-3122 Phone: (321)722-5200 Fax: (321)952-6010 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat-Sund (12:00AM- 11:59PM)
Circles of Care
4450 W. Eau Gallie Blvd. Suite 200 Melbourne, FL 32934-7214 Phone: (321)722-5200 Fax: (321)952-6010 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat-Sund (12:00AM- 11:59PM)
Coastal Mental Health Center 571 Haverty Court Suite Y Rockledge, FL 32955-3614 Phone: (800)614-4124 Fax: (888)217-4124 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Coastal Mental Health Center 5200 Babcock Street NE Suite 105 Palm Bay, FL 32905-4639 Phone: (800)614-4124 Fax: (888)217-4124 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Hispanic Family Counseling Inc 3270 Suntree Blvd Suite 103F Melbourne, FL 32940-7540 Phone: (407)382-9079 Fax: (407)964-1274 Accepting New Members? Y More languages: Spanish Haitian Hours of Operation:
Impower Inc
1037 Pathfinder Way Suite 130 Rockledge, FL 32955-3242 Phone: (321)639-1224 Fax: (407)261-0523 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Brevard County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 102 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Impower Inc
134 S. Woods Dr.
Rockledge, FL 32955 Phone: (321)639-1224 Fax: (321)636-0800 Accepting New Members? Y More languages: Spanish Hours of Operation:
The Brevard Health Alliance Inc 5270 Babcock St NE Suite 1 Palm Bay, FL 32905-8513 Phone: (321)722-5959 Fax: (321)722-5960 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Diana Chaitovitz LCSW
1101 W Hibiscus Blvd Suite 104 Melbourne, FL 32901-2700 Phone: (321)727-3833 Fax: (321)722-6051 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
Alicia Olivares LMHC
3905 Grisson Pkwy
Cocoa, FL 32926-3669 Phone: (321)637-1866 Fax: (321)634-3539 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Kinder Konsulting & Parents Too Inc 640 Brevard Ave. Suite 104 Cocoa, FL 32922-7849 Phone: (321)433-1111 Fax: (321)978-0298 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
The Brevard Health Alliance Inc 500 N Washington Ave
Titusville, FL 32796-2759 Phone: (321)268-0267 Fax: (321)268-3357 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Diana Chaitovitz LCSW
1970 Michigan Ave. Building J-2 Cocoa, FL 32922 Phone: (321)639-4483 Fax: (321)690-0848 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM)
Tammy Star LMHC
120 Harrison Street
Cocoa, FL 32922-7936 Phone: (321)223-8003 Fax: (321)452-2802 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00PM- 9:00PM)
The Brevard Health Alliance Inc 2120 Sarno Rd
Melbourne, FL 32935-3084 Phone: (321)241-6800 Fax: (321)241-6888 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
The Brevard Health Alliance Inc 775 Malabar Rd
Malabar, FL 32950-3120 Phone: (321)722-8435 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
The Brevard Health Alliance Inc 220 Barton Blvd Unit C14 Rockledge, FL 32955-2742 Phone: (321)639-5177 Fax: (321)639-4927 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
The Brevard Health Alliance Inc 17 Silver Palm Ave
Cocoa, FL 32927-5020 Phone: (321)733-2021 Fax: (321)727-0884 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Diane Frank LCSW
190 McIver Lane
Rockledge, FL 32955-5412 Phone: (321)631-8569 Fax: (321)631-6530 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 7:00PM)
Alicia Olivares LMHC
4670 Lipscomb St N.E. Suite II Palm Bay, FL 32905-2927 Phone: (321)726-2889 Fax: (321)726-2893 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Nicole Thweatt LMHC
4670 Lipscomb St N.E. Suite II Palm Bay, FL 32905-2927 Phone: (321)726-2889 Fax: (321)726-2893 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Nicole Thweatt LMHC
3905 Grisson Pkwy
Cocoa, FL 32926-3669 Phone: (321)637-1866 Fax: (321)634-3539 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Brevard County
Federally Qualified Health Center
Masters Level
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 103 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Yomaira Tovar LCSW
6265 Minton Rd. NE
Palm Bay, FL 32907-3014 Phone: (508)369-0139 Fax: (321)251-9132 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (3:00PM- 8:00PM); Fri (3:00PM-5:00PM); Sat (10:00AM-3:00PM)
Yomaira Tovar LCSW
4450 W. Eau Gallie Blvd. Suite 200 Melbourne, FL 32934-7214 Phone: (321)722-5200 Fax: (321)952-6010 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat-Sund (12:00AM- 11:59PM)
Ladonna Williams LMHC
190 McIver Lane
Rockledge, FL 32955-5412 Phone: (321)631-8569 Fax: (321)631-6530 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM); Fri (9:00AM-2:00PM)
Cecilia Corrado ARNP
105 S. Riverside Drive Suite 151 Indialantic, FL 32903-4321 Phone: (321)345-4947 Fax: (321)345-4950 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Vijaykumar Bhujang MD
5545 N. Wickham Road Suite 110 Melbourne, FL 32940-7323 Phone: (321)779-9838 Fax: (321)779-4502 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 5:00PM)
Vikas Pattu MD
880 Airport Road
Melbourne, FL 32901-2909 Phone: (321)722-5200 Fax: (321)952-6010 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat-Sund (12:00AM- 11:59PM)
Malcolm Roberts MD
4670 Lipscomb St N.E. Suite II Palm Bay, FL 32905-2927 Phone: (321)726-2889 Fax: (321)726-2893 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
3905 Grisson Pkwy
Cocoa, FL 32926-3669 Phone: (321)637-1866 Fax: (321)634-3539 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Isaac Levinsky PSYD
190 McIver Lane
Rockledge, FL 32955-5412 Phone: (321)631-8569 Fax: (321)631-6530 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM); Fri (9:00AM-2:00PM)
Jeffrey Williamson PHD
3700 N. Harbor City Blvd Suite 1D Melbourne, FL 32935-5764 Phone: (321)610-4703 Fax: (321)622-5948 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Devereux Foundation- Viera 8000 Devereux Drive
Melbourne, FL 32940-7907 Phone: (866)440-0613 Fax: (866)440-0613 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Devereux Foundation- Melbourne 1600 Sarno Road Suite 214 Melbourne, FL 32935-4993 Phone: (866)440-0613 Fax: (866)440-0613 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Devereux Foundation- Cocoa 1850 S. Deleon Ave
Titusville, FL 32780-7733 Phone: (407)374-1950 Fax: (321)225-8909 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Devereux Foundation- Melbourne 1600 Sarno Road Suite 214 Melbourne, FL 32935-4993 Phone: (866)440-0613 Fax: (866)440-0613 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Devereux Foundation- Melbourne 2330 Aurora Road
Melbourne, FL 32935-3306 Phone: (866)440-0613 Fax: (866)440-0613 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Brevard County
Nurse Practitioners
Psychiatrists Psychologists
Residential Treatment Centers
Targeted Case Management
Therapeutic Foster Care/Specialized Therapeutic Foster
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 104 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
American Health Care Community Beha 100 S. Semoran Blvd
Aspire Health Partners Inc 8301 E Colonial Dr
Aspire Health Partners Inc 434 W. Kennedy Blvd.
A Great Life Services Inc.
1150 S Semoran Blvd Suite A Orlando, FL 32807 Phone: (407)704-7811 Fax: (407)382-0659 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (9:00AM-8:00PM)
Adapt Behavioral Services 225 S. Swoope Ave. Suite 211 Maitland, FL 32751-5786 Phone: (407)622-0444 Fax: (407)699-0444 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Orlando, FL 32807-3257 Phone: (407)277-7620 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM); Sat (9:00AM-12:00PM)
Angels for Kids on Call 24/7 Inc. 7550 Futures Drive Suite 104-105 Orlando, FL 32819-9096 Phone: (844)743-6224 Fax: (407)985-3678 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Aspire Health Partners Inc 100 W Columbia St
Orlando, FL 32817-3909 Phone: (407)249-6560 Fax: (407)275-4008 Accepting New Members? Y More languages: Spanish Hours of Operation:
Aspire Health Partners Inc 1405 W Michigan St
Orlando, FL 32805-6123 Phone: (407)245-0020 Fax: (407)245-0307 Accepting New Members? Y More languages: Spanish Hours of Operation:
Aspire Health Partners Inc 4524 Thistledown Drive
Orlando, FL 32810-6237 Phone: (407)875-3700 Fax: (407)532-1067 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Aspire Health Partners Inc 1800 Mercy Drive Suite 302 Orlando, FL 32808-5646 Phone: (407)875-3700 Fax: (407)522-4671 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Aspire Health Partners Inc 2869 Wilshire Drive
Advanced Psychiatric Solutions 6150 Metrowest Blvd Suite 103 Orlando, FL 32835-3290 Phone: (407)730-3837 Fax: (407)730-3869 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat (8:30AM-10:30AM)
Advanced Psychiatric Solutions 2500 Discovery Drive
Orlando, FL 32826-3709 Phone: (407)730-3837 Fax: (407)730-3869 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat (8:30AM-10:30AM)
Orlando, FL 32806-1006 Phone: (407)245-0014 Fax: (407)245-0015 Accepting New Members? Y More languages: Spanish Hours of Operation:
Aspire Health Partners Inc 911 N Mills Ave
Orlando, FL 32803-3229 Phone: (877)909-3272 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation:
Orlando, FL 32804-1244 Phone: (407)291-6335 Fax: (407)659-0411 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 4:00PM)
Aspire Health Partners Inc 712 West Gore St
Orlando, FL 32805 Phone: (407)245-0012 Fax: (407)245-0013 Accepting New Members? Y More languages: Spanish Hours of Operation:
Orlando, FL 32835-3282 Phone: (407)521-4718 Fax: (407)521-4972 Accepting New Members? Y More languages: Spanish Hours of Operation:
Big Bear Behavioral Services 2700 Westhall Lane Suite 207 Maitland, FL 32751-7478 Phone: (800)840-2528 Fax: (407)540-9552 Accepting New Members? Y More languages: Hours of Operation:
Orange County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 105 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Children and Family Place 1901 W. Colonial Drive Suite 1 Orlando, FL 32804-7021 Phone: (407)624-3050 Fax: (407)930-2955 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Esperanza Behavioral Services 7350 Futures Dr Suite 16 Orlando, FL 32819-9084 Phone: (407)226-3733 Fax: (407)226-3434 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Hispanic Family Counseling Inc 6900 S Orange Blossom Trail Suite 402 Orlando, FL 32809-5734 Phone: (407)382-9079 Fax: (407)964-1274 Accepting New Members? Y More languages: Spanish Haitian Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM); Fri (9:00AM-1:00PM)
Lifting Individual & Family Expecta 1155 S. Semoran Blvd Suite 1150 Winter Park, FL 32792-5528 Phone: (321)296-9383 Fax: (321)296-9383 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Coastal Mental Health Center 1320 N. Semoran Blvd Suite 107 Orlando, FL 32807-3552 Phone: (800)614-4124 Fax: (888)217-4124 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Families First of Florida LLC 7984 Forest City Road Suite #3 Orlando, FL 33634-6310 Phone: (813)290-8560 Fax: (407)346-7429 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Impower Inc
5749 Westgate Drive
Orlando, FL 32835-5040 Phone: (407)681-2424 Fax: (407)931-2711 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Mindful Behavioral Healthcare LLC 10920 Moss Park Rd Suite 200 Orlando, FL 32832-6087 Phone: (407)846-0533 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Compass Counseling Services 1400 N. Semoran Blvd Suite E Orlando, FL 32807-3562 Phone: (407)823-8421 Fax: (407)823-8195 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Fellowship Counseling
120 S. Bumby Ave Suite A Orlando, FL 32803-7412 Phone: (407)509-3616 Fax: (407)282-0054 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (8:00AM-8:00PM)
Kinder Konsulting & Parents Too Inc 2479 Aloma Ave.
Winter Park, FL 32792-2541 Phone: (407)657-6692 Fax: (407)894-6010 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
MTS Health Services
3708 S. Conway Road
Orlando, FL 32812-7608 Phone: (407)389-9966 Fax: (877)334-9751 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Comprehensive Psychological & Asses 100 West Lucerne Circle
Orlando, FL 32801-3763 Phone: (800)361-1153 Fax: (917)677-7121 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Orlando Healing Educational Alternatives 5401 S. Kirkman Road 3rd Floor Orlando, FL 32819-7928 Phone: (813)754-5555 Fax: (813)754-5552 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Kinder Konsulting & Parents Too Inc 2475 Aloma Ave.
Winter Park, FL 32792-2541 Phone: (407)657-6692 Fax: (407)894-6010 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
NeuMind Wellness Group 3400 Hunters Creek Blvd
Orlando, FL 32837-7230 Phone: (352)394-0573 Fax: Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 7:00PM)
Orange County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 106 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Pan American Behavioral Health Svcs 6000 S. Rio Grande Suite 102 Orlando, FL 32809-4650 Phone: (407)982-7718 Fax: (407)930-0747 Accepting New Members? Y More languages: Hours of Operation:
Central Florida Behavioral Hospital 6601 Central Florida Pkwy
Orlando, FL 32821-8064 Phone: (407)370-0111 Fax: (407)264-7748 Accepting New Members? Y More languages: Spanish Farsi Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Cynthia Cucunato LMHC
2700 Westhall Lane Suite 207 Maitland, FL 32751-7478 Phone: (800)840-2528 Fax: (407)540-9552 Accepting New Members? Y More languages: Hours of Operation:
Stephen DiCerbo LMFT
7550 Futures Drive Suite 104-105 Orlando, FL 32819-9096 Phone: (844)743-6224 Fax: (407)985-3678 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (12:00AM-11:59PM)
Positive Behavioral Solutions LLC 7635 Ashley Park Court Suite 503H Orlando, FL 32835 Phone: (321)299-9415 Fax: (407)296-2286 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 7:00PM); Fri (8:00AM-5:00PM)
University Behavioral Center 2500 Discovery Drive
Orlando, FL 32826-3709 Phone: (407)281-7000 Fax: (407)282-7012 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Virginia Curbelo LMHC
668 N. Orlando Ave. Suite 1020 Maitland, FL 32751 Phone: (407)415-7119 Fax: (407)767-2488 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu (12:00PM- 8:00PM); Fri (8:00AM-5:00PM)
Julian Echeverry LMFT
1515 S. Orlando Ave. Suite G Maitland, FL 32751-6477 Phone: (407)222-4207 Fax: (386)860-0649 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 7:00PM)
Santiago & Friends Family Center 8617 E. Colonial Drive Suite 1100 Orlando, FL 32817-3938 Phone: (407)895-0801 Fax: (407)895-0803 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM); Sat (9:00AM-1:00PM)
The Chrysalis Center
Jennifer Burton LMHC
225 S. Swoope Ave. Suite 211 Maitland, FL 32751-5786 Phone: (407)622-0444 Fax: (407)699-0444 Accepting New Members? Y More languages: Hours of Operation:
Barry Daly LMHC
2704 Rew Circle Suite 105 B & F Ocoee, FL 34761 Phone: (321)436-8445 Fax: (407)573-1193 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (10:00AM- 7:00PM)
Giovanna De Leon LMHC
Tracey Felix-Thomas LMHC 120 S. Bumby Ave Suite A Orlando, FL 32803-7412 Phone: (407)509-3616 Fax: (407)282-0054 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 9:00PM)
Jeffrey Gill LCSW
922 West Colonial Drive
Orlando, FL 32804 Phone: (407)219-9304 Fax: (407)965-3310 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:30PM)
Jennifer Burton LMHC
1061 Maitland Center Comm Suite 220 Maitland, FL 32751-7435 Phone: (321)388-6838 Fax: (407)809-5987 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
5458 Hoffener Road Suite 303 Orlando, FL 32807-3330 Phone: (407)737-4007 Fax: (407)737-7997 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (10:00AM-7:00PM)
301 N Tubb Street Box 1225 Oakland, FL 34760 Phone: (407)877-8074 Fax: (407)674-2279 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (12:00PM- 9:00PM)
Orange County
Masters Level
Hospitals/Clinics
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 107 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Yurelis Ginarte LMHC Margot Logan LCSW Alicia Olivares LMHC Alicia Olivares LMHC
2700 Westhall Lane Suite 207 Maitland, FL 32751-7478 Phone: (800)840-2528 Fax: (407)540-9552 Accepting New Members? Y More languages: Hours of Operation:
1035 S. Semoran Blvd. Suite 1047 Winter Park, FL 32792-5512 Phone: (407)739-6059 Fax: (407)374-1771 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
2869 Wilshire Drive
Orlando, FL 32835-3282 Phone: (407)521-4718 Fax: (407)521-4972 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
100 W Columbia St
Orlando, FL 32806-1006 Phone: (407)245-0014 Fax: (407)245-0015 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Marleen Hamilton LMHC Margot Logan LCSW Alicia Olivares LMHC Alicia Olivares LMHC
3011 Curving Oaks Way
Orlando, FL 32820-2747 Phone: (407)630-1390 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
1155 S. Semoran Blvd Suite 1150 Winter Park, FL 32792-5528 Phone: (321)296-9383 Fax: (321)296-9383 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1800 Mercy Drive Suite 302 Orlando, FL 32808-5646 Phone: (407)875-3700 Fax: (407)522-4671 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8301 E Colonial Dr
Orlando, FL 32817-3909 Phone: (407)249-6560 Fax: (407)275-4008 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Luis Hines LMHC Sherry Mattos LMHC Alicia Olivares LMHC Alicia Olivares LMHC
5401 S. Kirkman Road Suite 310 Orlando, FL 32819-7937 Phone: (305)895-0504 Fax: (786)577-0647 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
5758 S. Semoran Blvd.
Orlando, FL 32822-4818 Phone: (407)757-0927 Fax: (407)757-0926 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
1405 W Michigan St
Orlando, FL 32805-6123 Phone: (407)245-0020 Fax: (407)245-0307 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
434 W. Kennedy Blvd.
Orlando, FL 32810-6237 Phone: (407)875-3700 Fax: (407)532-1067 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
Carrie Houseman LMHC Alicia Olivares LMHC Alicia Olivares LMHC Alicia Olivares LMHC
750 S. Orange Blossom Trail Suite 174 Orlando, FL 32805-3162 Phone: (407)276-0126 Fax: (888)481-6493 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
911 N Mills Ave
Orlando, FL 32803-3229 Phone: (877)909-3272 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
4524 Thistledown Drive
Orlando, FL 32804-1244 Phone: (407)291-6335 Fax: (407)659-0411 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 4:00PM)
712 West Gore St
Orlando, FL 32805 Phone: (407)245-0012 Fax: (407)245-0013 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Orange County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 108 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Dorcas Pedraza Velez LMHC 3662 Avalon Park E Blvd
Orlando, FL 32828 Phone: (407)925-8032 Fax: (407)574-6239 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:30PM)
Stephen Ryan LMHC
6150 Metrowest Blvd Suite 103 Orlando, FL 32835-3290 Phone: (407)730-3837 Fax: (407)730-3869 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Nicole Thweatt LMHC
100 W Columbia St
Orlando, FL 32806-1006 Phone: (407)245-0014 Fax: (407)245-0015 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Nicole Thweatt LMHC
911 N Mills Ave
Orlando, FL 32803-3229 Phone: (877)909-3272 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Miyosia Plummer LMHC Joyel Searight LMHC Nicole Thweatt LMHC Nicole Thweatt LMHC
2700 Westhall Lane Suite 207 Maitland, FL 32751-7478 Phone: (800)840-2528 Fax: (407)540-9552 Accepting New Members? Y More languages: Hours of Operation:
805 S. Kirkman Road Suite 207 Orlando, FL 32811 Phone: (407)694-1860 Fax: (800)918-1976 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
1405 W Michigan St
Orlando, FL 32805-6123 Phone: (407)245-0020 Fax: (407)245-0307 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
2700 Westhall Lane Suite 207 Maitland, FL 32751-7478 Phone: (800)840-2528 Fax: (407)540-9552 Accepting New Members? Y More languages: Hours of Operation:
Clarence Riley LMHC Denise Thompkins LMHC Nicole Thweatt LMHC Nicole Thweatt LMHC
5758 S. Semoran Blvd.
Orlando, FL 32822-4818 Phone: (407)757-0927 Fax: (407)757-0926 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
5758 S. Semoran Blvd.
Orlando, FL 32822-4818 Phone: (407)757-0927 Fax: (407)757-0926 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
1800 Mercy Drive Suite 302 Orlando, FL 32808-5646 Phone: (407)875-3700 Fax: (407)522-4671 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
8301 E Colonial Dr
Orlando, FL 32817-3909 Phone: (407)249-6560 Fax: (407)275-4008 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Stephen Ryan LMHC Nicole Thweatt LMHC Nicole Thweatt LMHC Nicole Thweatt LMHC
2500 Discovery Drive
Orlando, FL 32826-3709 Phone: (407)730-3837 Fax: (407)730-3869 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
2869 Wilshire Drive
Orlando, FL 32835-3282 Phone: (407)521-4718 Fax: (407)521-4972 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1950 Lee Road Suite 114 Winter Park, FL 32789-7210 Phone: (407)587-5975 Fax: (407)335-4570 Accepting New Members? Y More languages: Hours of Operation: Tue,Wed,Thu (1:00PM-8:00PM)
434 W. Kennedy Blvd.
Orlando, FL 32810-6237 Phone: (407)875-3700 Fax: (407)532-1067 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59PM)
Orange County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 109 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Nicole Thweatt LMHC
4524 Thistledown Drive
Orlando, FL 32804-1244 Phone: (407)291-6335 Fax: (407)659-0411 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 4:00PM)
Nicole Thweatt LMHC
712 West Gore St
Orlando, FL 32805 Phone: (407)245-0012 Fax: (407)245-0013 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Jason Tucker LMHC
7984 Forest City Road Suite #3 Orlando, FL 33634-6310 Phone: (813)290-8560 Fax: (407)346-7429 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Sharon Yorke LCSW
13650 W. Colonial Drive Suite 150-F Winter Garden, FL 34787-39 Phone: (407)377-5858 Fax: (407)357-0217 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Maria Zerpa LMHC
5758 S. Semoran Blvd.
Orlando, FL 32822-4818 Phone: (407)757-0927 Fax: (407)757-0926 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Carmen Ziers LMHC
1516 E. Colonial Drive Suite 101 Orlando, FL 32803-4726 Phone: (407)894-1708 Fax: (407)894-1780 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:00PM)
Pamela Baszinski ARNP
1964 Howell Branch Road Suite 100 Winter Park, FL 32792-1042 Phone: (407)681-3950 Fax: Accepting New Members? Y More languages: Hours of Operation:
Teresa Perrault ARNP
1836 Woodward Street
Orlando, FL 32803-4256 Phone: (407)894-6980 Fax: (407)894-6982 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 5:30PM); Fri (8:00AM-4:00PM); Sat (9:00AM-3:00PM)
Sajid Hafeez MD
2500 Discovery Drive
Orlando, FL 32826 Phone: (407)281-7000 Fax: (407)282-7012 Accepting New Members? Y More languages: Urdu Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Sajid Hafeez MD
2500 Discovery Drive
Orlando, FL 32826-3709 Phone: (407)281-7000 Fax: (407)282-7012 Accepting New Members? Y More languages: Urdu Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Mina Oza MD
5758 S. Semoran Blvd.
Orlando, FL 32822-4818 Phone: (407)757-0927 Fax: (407)757-0926 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Praveen Pathak MD
1836 Woodward Street
Orlando, FL 32803-4256 Phone: (407)894-6980 Fax: (407)894-6982 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 5:00PM); Fri (8:00AM-4:00PM)
Malcolm Roberts MD
2869 Wilshire Drive
Orlando, FL 32835-3282 Phone: (407)521-4718 Fax: (407)521-4972 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
1405 W Michigan St
Orlando, FL 32805-6123 Phone: (407)245-0020 Fax: (407)245-0307 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
100 W Columbia St
Orlando, FL 32806-1006 Phone: (407)245-0014 Fax: (407)245-0015 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
434 W. Kennedy Blvd.
Orlando, FL 32810-6237 Phone: (407)875-3700 Fax: (407)532-1067 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (12:00AM- 11:59AM)
Orange County
Nurse Practitioners
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 110 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Malcolm Roberts MD Malcolm Roberts MD Veda Vyas MD Kristjan Olafsson PHD
1800 Mercy Drive Suite 302 Orlando, FL 32808-5646 Phone: (407)875-3700 Fax: (407)522-4671 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
911 N Mills Ave
Orlando, FL 32803-3229 Phone: (877)909-3272 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
120 S. Bumby Ave Suite A Orlando, FL 32803-7412 Phone: (407)509-3616 Fax: (407)282-0054 Accepting New Members? Y More languages: Hindi Kannada Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 9:00PM)
5401 S. Kirkman Road
Orlando, FL 32819 Phone: (407)704-7608 Fax: (407)982-8516 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Malcolm Roberts MD
4524 Thistledown Drive
Orlando, FL 32804-1244 Phone: (407)291-6335 Fax: (407)659-0411 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
712 West Gore St
Orlando, FL 32805 Phone: (407)245-0012 Fax: (407)245-0013 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
8301 E Colonial Dr
Orlando, FL 32817-3909 Phone: (407)249-6560 Fax: (407)275-4008 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Veda Vyas MD
7550 Futures Drive Suite 104-105 Orlando, FL 32819-9096 Phone: (844)743-6224 Fax: (407)985-3678 Accepting New Members? Y More languages: Hindi Kannada Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
Veda Vyas MD
1801 Lee Road Suite 220 Winter Park, FL 32789-2163 Phone: (407)740-0383 Fax: (407)740-0470 Accepting New Members? Y More languages: Hindi Kannada Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Veda Vyas MD
1155 S. Semoran Blvd Suite 1150 Winter Park, FL 32792-5528 Phone: (321)296-9383 Fax: (321)296-9383 Accepting New Members? Y More languages: Hindi Kannada Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Aida Dorsainville PSYD
734 Irma Ave.
Orlando, FL 32803-3853 Phone: (407)494-3787 Fax: (888)584-9071 Accepting New Members? Y More languages: Hours of Operation: Fri-Sat (10:00AM-8:00PM)
Margie Justice-Pitoniak PSYD 5401 S. Kirkman Road
Orlando, FL 32819 Phone: (407)704-7608 Fax: (407)982-8516 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Kimberly Kirkpatrick PHD
2660 West Fairbanks Ave
Winter Park, FL 32789-3385 Phone: (407)898-2767 Fax: (407)898-9443 Accepting New Members? Y More languages: Hours of Operation:
Veronica White PHD
1850 Lee Road Suite 210 Winter Park, FL 32789 Phone: (407)478-5125 Fax: (407)386-8900 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Devereux Foundation- Orlando 6147 Christian Way Sunset Building Orlando, FL 32808-1435 Phone: (866)440-0613 Fax: (866)440-0613 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Orange County
Psychologists
Residential Treatment Centers
Statewide Inpatient Psychiatric Programs
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 111 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Devereux Foundation- Orlando 6147 Christian Way Sunset Building Orlando, FL 32808-1435 Phone: (866)440-0613 Fax: (866)440-0613 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Devereux Foundation- Orlando 5749 Westgate Drive Suite 102 Orlando, FL 32822-4407 Phone: (866)440-0613 Fax: (866)440-0613 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Mental Health Solutions Center 100 S. Semoran Blvd. Suite 2 Orlando, FL 32807-3231 Phone: (407)277-7620 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM); Sat (9:00AM-1:00PM)
A Joint Vision LLC
3700 34 Street 100F Orlando, FL 32805-6610 Phone: (407)431-8831 Fax: (407)386-8373 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Akeso Behavioral Health Services 6100 Lake Ellenor Drive Suite 212 Orlando, FL 32809-4614 Phone: (407)325-2235 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Veronica Bunbury TCM
750 S. Orange Blosson Trail Suite 119 Orlando, FL 32805-3154 Phone: (407)558-5058 Fax: (844)246-6240 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM); Sat (9:00AM-1:00PM)
Florida Social Solutions
750 S. Orange Blossom Trail Suite 174 Orlando, FL 32805-3162 Phone: (407)276-0126 Fax: (888)481-6493 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Kyngdom Services TCM
750 S. Orange Blossom Trail Suite 226 Orlando, FL 32805-3195 Phone: (407)674-8988 Fax: (407)674-8992 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Medallion Health Care Services 2295 S. Hiawassee Rd Suite 207-6 Orlando, FL 32835 Phone: (407)575-3416 Fax: (386)675-6592 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:30AM- 4:00PM)
Meridian Associates
200 E. Robinson Street Suite 200 Orlando, FL 32801-1945 Phone: (407)440-4509 Fax: (407)440-4510 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Visions TCM Service LLC
1707 Orlando Central Parkw Suite 440 Orlando, FL 32809-5783 Phone: (407)716-9896 Fax: (407)929-5093 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Devereux Foundation- Orlando 5749 Westgate Drive Suite 102 Orlando, FL 32822-4407 Phone: (866)440-0613 Fax: (866)440-0613 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Orange County
Targeted Case Management
Therapeutic Foster Care/Specialized Therapeutic Foster
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 112 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Adapt Behavioral Services 3483 W Vine Street
Kissimmee, FL 34741-4668 Phone: (407)928-0444 Fax: (407)518-0808 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
All Family Resource Center 1318 W. Oak Street
Kissimmee, FL 34741-4009 Phone: (321)206-6560 Fax: (866)901-7203 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM); Sat (8:00AM-1:00PM)
American Healthcare Community Behav 1203 Florida Ave
Saint Cloud, FL 34769-3721 Phone: (407)593-2757 Fax: (407)593-1062 Accepting New Members? Y More languages: Spanish Portugu Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Aspire Health Partners Inc 924 Determination Way
Kissimmee, FL 34741-6017 Phone: (407)932-0943 Fax: (407)943-7933 Accepting New Members? Y More languages: Spanish Hours of Operation:
Aspire Health Partners Inc 2540 Michigan Ave
Kissimmee, FL 34744-1933 Phone: (407)846-5285 Fax: (407)846-5344 Accepting New Members? Y More languages: Spanish Hours of Operation:
Aspire Health Partners Inc 5970 S Orange Blossom Trl
Intercession City, FL 33848 Phone: (407)846-5294 Fax: (407)846-5298 Accepting New Members? Y More languages: Spanish Hours of Operation:
Carrousel Therapy Center 4898 E. Irio Bronson Memori 2nd Floor Saint Cloud, FL 34771-8714 Phone: (407)891-3054 Fax: (888)477-7678 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Carrousel Therapy Center 3201 Budinger Ave.
Saint Cloud, FL 34769-3201 Phone: (407)910-2941 Fax: (888)477-7678 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Circle of Friends Services Inc. 111 E Monument Ave Unit 513 Kissimmee, FL 32725-8016 Phone: (386)259-5413 Fax: (386)753-9265 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
CJA Behavioral Services
809 E. Oak Street Suite 106 Kissimmee, FL 34744-5834 Phone: (407)483-9520 Fax: Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 4:00PM)
Coastal Mental Health Center 829 E Oak Street Suite C Kissimmee, FL 34744-5829 Phone: (800)614-4124 Fax: (888)217-4124 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Concord Counseling Center LLC 897 Towne Center Drive Suite 101 Kissimmee, FL 34759-3469 Phone: (407)530-5206 Fax: (407)530-5198 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Expanding Horizons
816 Pennsylvania Ave
Saint Cloud, FL 34769 Phone: (321)805-4426 Fax: (407)902-0019 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Family Integration Center 1028 E. Osceola Parkway
Kissimmee, FL 34744 Phone: (407)720-4651 Fax: (407)720-4690 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (8:00AM-6:00PM)
Hispanic Family Counseling Inc 200 N John Young Parkway Suite 200 Kissimmee, FL 34741-6601 Phone: (407)382-9079 Fax: (407)964-1274 Accepting New Members? Y More languages: Spanish Haitian Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM); Fri (9:00AM-1:00PM)
Impower Inc
1900 N. Central Ave
Kissimmee, FL 34741-2331 Phone: (407)931-2911 Fax: (407)931-2711 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Osceola County
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 113 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Insight Behavioral Health
1320 N Main Street
North Star Counseling of Central FL 107 E. Monument Ave.
Park Place Behavioral Health Care 206 Park Place Blvd.
Park Place Behavioral Health Care 880 Martin Luther King Jr Blv
Kissimmee, FL 34744-4289 Phone: (407)343-6006 Fax: (407)343-8289 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (9:00AM-7:00PM)
Kissimmee, FL 34741-5761 Phone: (407)930-4711 Fax: (866)255-1576 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (8:00AM-7:00PM)
Kissimmee, FL 34741-2344 Phone: (407)846-0023 Fax: (407)483-0378 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Kissimmee, FL 34741 Phone: (407)846-0023 Fax: (407)933-7890 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Insight Behavioral Health
618 N Main St
Kissimmee, FL 34744-5262 Phone: (407)343-6006 Fax: (407)343-8289 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (9:00AM-7:00PM)
Optimum Potential Community Serv 120 Broadway Suite 306 Kissimmee, FL 34741-5706 Phone: (407)201-6577 Fax: (407)350-3425 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Park Place Behavioral Health Care 200 Park Place Blvd.
Kissimmee, FL 34741-2344 Phone: (407)846-0023 Fax: (407)483-0378 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Serving Children and Reaching Fam 1975 S. John Young Parkway Suite 203 A Kissimmee, FL 34741-0605 Phone: (321)236-1540 Fax: (321)594-6096 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Life & Work Soulutions
3206 Hillsdale Lane
Kissimmee, FL 34741-7562 Phone: (407)530-5911 Fax: (888)216-6045 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 8:00PM); Sat (9:00AM-2:00PM)
Mindful Behavioral Healthcare LLC 717 E Oak Street
Kissimmee, FL 34744-4580 Phone: (407)846-0533 Fax: (407)518-1730 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Park Place Behavioral Health Care 511 Dillingham Ave
Kissimmee, FL 34741-4959 Phone: (407)846-0023 Fax: (321)402-0695 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Park Place Behavioral Health Care 208 Park Place Blvd
Kissimmee, FL 34741-2344 Phone: (407)846-0023 Fax: (407)483-0378 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Park Place Behavioral Health Care 2940 Pleasant Hill Road
Kissimmee, FL 34746-3061 Phone: (407)846-0023 Fax: (321)402-0695 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Park Place Behavioral Health Care 1507 Bill Beck Blvd
Kissimmee, FL 34744 Phone: (407)846-0023 Fax: (407)483-0378 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Emeka Anyiam LMFT
111 E Monument Ave Unit 513 Kissimmee, FL 32725-8016 Phone: (386)259-5413 Fax: (386)753-9265 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Kimberly Burgnon LMHC
3214 Hillsdale Lane
Kissimmee, FL 34741-7562 Phone: (407)518-9161 Fax: (407)518-9942 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed (8:00AM- 6:00PM); Thu-Fri (8:00AM- 5:00PM)
Osceola County
Masters Level
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 114 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Janet Patricia Chila LMHC Sylvia Multari LMHC Alicia Olivares LMHC Nicole Thweatt LMHC
3501 W. Vine Street Suite 520 Kissimmee, FL 34741 Phone: (407)654-0919 Fax: (888)908-8673 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 7:30PM); Sat (9:00AM-4:00PM)
Carrie Houseman LMHC
94 San Blas Ave
Kissimmee, FL 34743-6626 Phone: (321)231-4230 Fax: (407)744-0167 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (9:00AM-8:00PM); Sun (9:00AM- 9:30PM)
Alicia Olivares LMHC
2540 Michigan Ave
Kissimmee, FL 34744-1933 Phone: (407)846-5285 Fax: (407)846-5344 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Amanda Peercy LCSW
5970 S Orange Blossom Trl
Intercession City, FL 33848 Phone: (407)846-5294 Fax: (407)846-5298 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Nicole Thweatt LMHC
600 N. Thacker Ave Suite D63 Kissimmee, FL 34741-4895 Phone: (407)994-2819 Fax: (321)222-1337 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
5970 S Orange Blossom Trl
Intercession City, FL 33848 Phone: (407)846-5294 Fax: (407)846-5298 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
3214 Hillsdale Lane
Kissimmee, FL 34741-7562 Phone: (407)518-9161 Fax: (407)518-9942 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon (9:00AM-5:00PM)
924 Determination Way
Kissimmee, FL 34741-6017 Phone: (407)932-0943 Fax: (407)943-7933 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Iris Machado-Acevedo LMHC 3214 Hillsdale Lane
Kissimmee, FL 34741-7562 Phone: (407)518-9161 Fax: (407)518-9942 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM); Fri (9:00AM-8:00PM)
Iris Machado-Acevedo LMHC 4898 E. Irio Bronson Memori 2nd Floor Saint Cloud, FL 34771-8714 Phone: (407)891-3054 Fax: (888)477-7678 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Alicia Olivares LMHC
924 Determination Way
Kissimmee, FL 34741-6017 Phone: (407)932-0943 Fax: (407)943-7933 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Alicia Olivares LMHC
2220 E. Irlo Bronson Memori Suite 8 Kissimmee, FL 34744-4410 Phone: (321)442-6665 Fax: (800)883-7015 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (3:00PM- 7:00PM)
Ann Marie Rodriguez LCSW 2521 13th Street Suite F St Cloud, FL 34769-4119 Phone: (407)900-4885 Fax: (866)515-9293 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu (5:30PM- 7:00PM); Sat (9:00AM-11:00AM)
Nicole Thweatt LMHC
2540 Michigan Ave
Kissimmee, FL 34744-1933 Phone: (407)846-5285 Fax: (407)846-5344 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
2540 Michigan Ave
Kissimmee, FL 34744-1933 Phone: (407)846-5285 Fax: (407)846-5344 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
5970 S Orange Blossom Trl
Intercession City, FL 33848 Phone: (407)846-5294 Fax: (407)846-5298 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Osceola County
Psychiatrists
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 115 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Malcolm Roberts MD
924 Determination Way
Kissimmee, FL 34741-6017 Phone: (407)932-0943 Fax: (407)943-7933 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Hector Torres MD
2521 13 Street Suite D Saint Cloud, FL 34769-4103 Phone: (407)734-1273 Fax: (866)738-7531 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Gisela Adorno-Cruz PSYD
2521 13th Street Suite F St Cloud, FL 34769-4119 Phone: (407)900-4885 Fax: (866)515-9293 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
John Beltran PSYD
3214 Hillsdale Lane
Kissimmee, FL 34741-7562 Phone: (407)518-9161 Fax: (407)518-9942 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM); Sat (8:00AM-4:00PM)
Kadem Cando-Rovira PHD 2521 13th Street Suite F St Cloud, FL 34769-4119 Phone: (407)900-4885 Fax: (866)515-9293 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Yamila Santos PHD
2521 13th Street Suite F St Cloud, FL 34769-4119 Phone: (407)900-4885 Fax: (866)515-9293 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Jose Santos-Rodriguez PHD 1320 N Main Street
Kissimmee, FL 34744-4289 Phone: (407)343-6006 Fax: (407)343-8289 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 7:00PM)
Jose Santos-Rodriguez PHD 3206 Hillsdale Lane
Kissimmee, FL 34741-7562 Phone: (407)530-5911 Fax: (888)216-6045 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 8:00PM)
Jose Santos-Rodriguez PHD 618 N Main St
Kissimmee, FL 34744-5262 Phone: (407)343-6006 Fax: (407)343-8289 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 7:00PM)
Behavioral Work
1633 E Vine Street Suite 210 Kissimmee, FL 34744-6054 Phone: (407)329-3464 Fax: (407)386-3344 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Optimum Potential Community Serv 120 Broadway Suite 306 Kissimmee, FL 34741-5706 Phone: (407)201-6577 Fax: (407)350-3425 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
TCM Solution Center
3501 W. Vine Street Suite 278 Kissimmee, FL 34741-4673 Phone: (321)900-5786 Fax: (727)313-9253 Accepting New Members? Y More languages: Hours of Operation:
Devereux Foundation- Kissimmee 110 W. Neptune Road
Kissimmee, FL 32822-4407 Phone: (866)440-0613 Fax: (866)440-0613 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Osceola County
Psychologists
Targeted Case Management
Therapeutic Foster Care/Specialized Therapeutic Foster
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 116 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Aspire Health Partners Inc 300 South Bay Ave
Coastal Mental Health Center 540 W Lake Mary Blvd
Impower Inc
111 W. Magnolia Ave.
A Better Therapy
740 Florida Central Pkwy Suite 2008 Longwood, FL 32750-7653 Phone: (407)774-2284 Fax: (407)774-2285 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 9:00PM); Sat (8:00AM-6:00PM); Sun (8:00AM-5:00PM)
Aspire Health Partners Inc 96 Plumosa St
Casselberry, FL 32707-2937 Phone: (407)262-0045 Fax: (407)260-6051 Accepting New Members? Y More languages: Spanish Hours of Operation:
Aspire Health Partners Inc 919 East 2nd Street
Sanford, FL 32771-2101 Phone: (407)521-4718 Fax: (407)659-0411 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Aspire Health Partners Inc 351 South Bay Ave
Sanford, FL 32771-2141 Phone: (407)323-2036 Fax: (407)321-5276 Accepting New Members? Y More languages: Spanish Hours of Operation:
Sanford, FL 32771-2141 Phone: (407)323-2036 Fax: (407)321-5276 Accepting New Members? Y More languages: Spanish Hours of Operation:
Aspire Health Partners Inc 237 Fernwood Blvd
Casselberry, FL 32730-2116 Phone: (407)245-0045 Fax: (407)245-0049 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Boys Town Central Florida 1350 Healing Place
Oviedo, FL 32765 Phone: (407)588-2160 Fax: (407)588-2162 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Boys Town Central Florida 1401,1405, 1410,1415 Flana
Oviedo, FL 32765 Phone: (407)588-2170 Fax: (407)588-2171 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Sanford, FL 32773-7400 Phone: (800)614-4124 Fax: (888)217-4124 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Hispanic Family Counseling Inc 951 E Altamonte Dr Suite B Altamonte Springs, FL 32701 Phone: (407)382-9079 Fax: (407)964-1274 Accepting New Members? Y More languages: Spanish Haitian Hours of Operation: Mon,Tue,Wed,Thu (9:00AM- 5:00PM); Fri (9:00AM-1:00PM)
Hope for Tomorrow Mental Health Svc 401 Center Pointe Circle Suite 1505 Altamonte Springs, FL 32701 Phone: (407)834-0942 Fax: (407)834-0945 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
Impower Inc
587 E. State Road 434 Suite 1021 Longwood, FL 32750-5284 Phone: (407)331-8002 Fax: (407)331-8659 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Longwood, FL 32750-5284 Phone: (407)331-8002 Fax: (407)331-8659 Accepting New Members? Y More languages: Spanish Hours of Operation:
Saafe Behavioral Services LLC 3993 W 1st Street
Sanford, FL 32771-9726 Phone: (386)873-2963 Fax: (386)873-2786 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 5:30PM); Fri (8:00AM-2:00PM)
The Grove Counseling Center Inc 580 Old Sanford Oviedo Roa
Winter Springs, FL 32708-26 Phone: (407)327-1765 Fax: (407)339-2129 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (12:00AM-11:59PM)
The Grove Counseling Center Inc 111 West Magnolia Avenue
Longwood, FL 32750-4130 Phone: (407)327-1765 Fax: (407)339-2129 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
Seminole County
Masters Level
Community Mental Health Centers
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 117 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Milton Collins LCSW Alicia Olivares LMHC Alicia Olivares LMHC Michelle Salomon LMHC
274 Willshire Blvd Suite 221 Casselberry, FL 32707-5367 Phone: (407)830-4755 Fax: (407)830-4755 Accepting New Members? Y More languages: Spanish Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat,Sun (9:00AM-7:00PM)
351 South Bay Ave
Sanford, FL 32771-2141 Phone: (407)323-2036 Fax: (407)321-5276 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
919 East 2nd Street
Sanford, FL 32771-2101 Phone: (407)521-4718 Fax: (407)659-0411 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
205 Waymont Court Suite 111 Lake Mary, FL 32746-3593 Phone: (407)688-1770 Fax: (407)688-7205 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (10:00AM- 5:00PM)
John Cooney LCSW Alicia Olivares LMHC Andrew Pittington LMHC Marlene Schiro LMHC
650 S. Central Ave.
Oviedo, FL 32765-5900 Phone: (407)977-7943 Fax: (407)977-7944 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
237 Fernwood Blvd
Casselberry, FL 32730-2116 Phone: (407)245-0045 Fax: (407)245-0049 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
142 W Lakeview Ave Suite 2010 Lake Mary, FL 32746 Phone: (407)330-5056 Fax: (407)688-0307 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 5:00PM)
650 S. Central Ave.
Oviedo, FL 32765-5900 Phone: (407)977-7943 Fax: (407)977-7944 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Tracey Felix-Thomas LMHC 6001 Brick Court Suite 109 Winter Park, FL 32792-9367 Phone: (407)671-0490 Fax: (407)429-3923 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 8:30PM)
Alicia Olivares LMHC
300 South Bay Ave
Sanford, FL 32771-2141 Phone: (407)323-2036 Fax: (407)321-5276 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Laura Powell LMHC
1991 Longwood Lake Mary R
Longwood, FL 32750 Phone: (407)463-3500 Fax: (407)699-0820 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 6:00PM)
Nicole Thweatt LMHC
351 South Bay Ave
Sanford, FL 32771-2141 Phone: (407)323-2036 Fax: (407)321-5276 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Soni McCarty LMHC Alicia Olivares LMHC Jesica Rivette LMHC Nicole Thweatt LMHC
1385 Wests State Road 434 Suite 207 Longwood, FL 32750-6214 Phone: (407)461-1978 Fax: (407)960-3686 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri,Sat (9:00AM-5:00PM)
96 Plumosa St
Casselberry, FL 32707-2937 Phone: (407)262-0045 Fax: (407)260-6051 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
3993 W. State Road 46
Sanford, FL 32771 Phone: (407)732-4272 Fax: (407)732-4579 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:30AM- 5:00PM)
300 South Bay Ave
Sanford, FL 32771-2141 Phone: (407)323-2036 Fax: (407)321-5276 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Seminole County
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 118 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Nicole Thweatt LMHC Kevin Kearney ARNP Malcolm Roberts MD Adly Thebaud MD
96 Plumosa St
Casselberry, FL 32707-2937 Phone: (407)262-0045 Fax: (407)260-6051 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
650 S. Central Ave.
Oviedo, FL 32765-5900 Phone: (407)977-7943 Fax: (407)977-7944 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
300 South Bay Ave
Sanford, FL 32771-2141 Phone: (407)323-2036 Fax: (407)321-5276 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
1403 Medical Plaza Drive Suite 202 Sanford, FL 32771-1000 Phone: (386)775-0736 Fax: (386)218-0037 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Nicole Thweatt LMHC
237 Fernwood Blvd
Casselberry, FL 32730-2116 Phone: (407)245-0045 Fax: (407)245-0049 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Nicole Thweatt LMHC
919 East 2nd Street
Sanford, FL 32771-2101 Phone: (407)521-4718 Fax: (407)659-0411 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Paula Wright LCSW
1403 Medical Plaza Drive Suite 202 Sanford, FL 32771-1000 Phone: (386)775-0736 Fax: (386)218-0037 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu (8:00AM- 6:00PM)
Rex Birkmire MD
650 S. Central Ave.
Oviedo, FL 32765-5900 Phone: (407)977-7943 Fax: (407)977-7944 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
James Reed MD
650 S. Central Ave.
Oviedo, FL 32765-5900 Phone: (407)977-7943 Fax: (407)977-7944 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (9:00AM- 6:00PM)
Malcolm Roberts MD
919 East 2nd Street
Sanford, FL 32771-2101 Phone: (407)521-4718 Fax: (407)659-0411 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
237 Fernwood Blvd
Casselberry, FL 32730-2116 Phone: (407)245-0045 Fax: (407)245-0049 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
96 Plumosa St
Casselberry, FL 32707-2937 Phone: (407)262-0045 Fax: (407)260-6051 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Malcolm Roberts MD
351 South Bay Ave
Sanford, FL 32771-2141 Phone: (407)323-2036 Fax: (407)321-5276 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Gerda & Associates
114 W. Bay Ave.
Longwood, FL 32750-4124 Phone: (321)422-0829 Fax: (321)422-0830 Accepting New Members? Y More languages: Hours of Operation: Mon,Tue,Wed,Thu,Fri (8:00AM- 5:00PM)
Seminole County
Psychiatrists Targeted Case Management
Nurse Practitioners
While we make every effort to ensure the accuracy of data, provider information is updated frequently, at least every 30 days. Please check with the provider before scheduling an appointment or receiving services to confirm he or she is participating in Carisk Behavioral Health's (formerly Concordia) network. Any questions? Call us toll-free at 1-855-541-5300.
09/11/2018 Page 119 of 119 Ped-I-Care's Plan Children's Medical Services (CMS)
Title 19 Provider Network for AHCA Region 07
Practitioner Directory Data Sources:
Name--Practitioners tell Carisk their name when they join the Carisk Behavioral Health (formerly Concordia) network and every 3 years thereafter when they complete the recredentialing process. Changes to information between 3 year cycles may not be reflected until the next 3 year cycle. If Carisk receives new information between cycles, the directory is updated. Carisk does not verify practitioner name. Gender: Practitioners tell Carisk their gender when they join the network and every 3 years thereafter when they complete the recredentialing process. Changes to information between 3 year cycles may not be reflected until the next 3 year cycle. If Carisk receives new information between cycles, the directory is updated. Carisk does not verify practitioner gender. Discipline/provider type: Discipline/provider type means the practitioner’s area of professional training such as physician, psychologist, social worker, mental health counselor. Practitioners tell Carisk their discipline/provider type when they join the network and every 3 years thereafter when they complete the recredentialing process. Carisk verifies discipline/provider type when practitioners join the network. Changes to information between 3 year cycles may not be reflected until the next 3 year reporting cycle. If Carisk receives new information between cycles, the information is verified and the directory is updated.
Specialty--Specialty means the practitioner has completed additional education and training in a specific area after completing
medical or professional school. Practitioners tell Carisk specialty information when they join the network and every 3 years thereafter when they complete the recredentialing process. Carisk verifies specialty training at these times. Changes to information between 3 year cycles may not be reflected until the next 3 year cycle. If Carisk receives new information between cycles, the directory is updated.
Organization affiliations--Organization Affiliation means the provider with which the practitioner works or is associated. Practitioners tell Carisk Behavioral Health (formerly Concordia) their organization affiliation when they join the network and every 3 years thereafter when they complete the recredentialing process. Changes to information between 3 year cycles may not be reflected until the next 3 year cycle. If Carisk receives new information between cycles, the directory is updated. Carisk does not verify organization affiliation. Board certification: Board Certification means the practitioner has completed additional education and training in a specific area after completing medical or professional school and has successfully passed an examination indicating expertise in this area. Practitioners tell Carisk board certification information when they join the network and every 3 years thereafter when they complete the recredentialing process. Carisk verifies board certification from the issuing entity at these times. Changes to information between 3 year cycles may not be reflected until the next 3 year cycle. If Carisk receives new information between cycles, the directory is updated. For the most current board certification information, go to www.certificationmatters.org/ and search by name or specialty for your practitioner’s information. Accepting new patients: Accepting New Patients means the practitioner will see new patients in the practice. Practitioners tell Carisk information about accepting new patients when they join the network and every 3 years thereafter when they complete the recredentialing process. Changes to information between 3 year cycles may not be reflected until the next 3 year cycle. If Carisk receives new information between cycles, the directory is updated. Carisk does not verify accepting new patients’ information.
Seminole County