COMPLETE DIMENSIONS BEHAVIORAL HEALTH CORP – Psychiatry Physician, NPI 1588292502
Psychiatry Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COMPLETE DIMENSIONS BEHAVIORAL HEALTH CORP
2822 HWY 71
Marianna, FL 32446
Phone: (321) 438-5594
Type: Location
66 W FLAGLER ST STE 900
MIAMI, FL 331301807
Phone:
Type: Mailing
7041 GRAND NATIONAL DR STE 200
ORLANDO, FL 328198380
Phone: (407) 982-7718
Type: Location
6015 CHESTER CIR STE 108
JACKSONVILLE, FL 322172270
Phone: (855) 928-5011
Type: Location
525 N Newnan St
Jacksonville, FL 322023121
Phone: (904) 379-8383
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (10 days ago).
Enrollment records
1
Earliest due date
2026-05-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200612000676 | O | Clinic/Group Practice | FL | 2026-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32446)
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