BRANDON MENTAL HEALTH – Community/Behavioral Health Agency, NPI 1649421389

BRANDON MENTAL HEALTH is a healthcare provider. based in Valrico, Florida. specializing in Community/Behavioral Health Agency. The organization holds a License No. SW9082 (FL). The NPI Number for BRANDON MENTAL HEALTH is 1649421389

Main info

Organization
Name
BRANDON MENTAL HEALTH
NPI
1649421389
Phone
Not provided
Address
PO BOX 1461
Authorized Official
MR. SHANE THOMAS RAYMOND C.E.O. L.C.S.W.
Enumeration Date
30 September 2008
Last Update Date
23 February 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for BRANDON MENTAL HEALTH

  • PO BOX 1461

    VALRICO, FL 335951461

    Phone:

    Type: Mailing

  • 1427, Oakfield Drive, Brandon, Hillsborough County, Florida, 33511, United States

    BRANDON, FL 335112801

    Phone: (813) 315-8648

    Type: Location

  • 1134 BELL SHOALS RD.

    BRANDON, FL 33511

    Phone: (813) 315-8648

    Fax: (813) 438-8973

    Type: Mailing

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: 2008-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20081013000083OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 33595)

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Reviews

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Frequently asked questions

How is BRANDON MENTAL HEALTH identified in CMS data?
CMS-hosted NPPES data lists BRANDON MENTAL HEALTH with NPI 1649421389.
Does the file indicate BRANDON MENTAL HEALTH is practicing under active NPI?
Directory data currently reports BRANDON MENTAL HEALTH as active.
What is BRANDON MENTAL HEALTH's specialty?
The listing groups BRANDON MENTAL HEALTH with Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
What area does BRANDON MENTAL HEALTH serve?
BRANDON MENTAL HEALTH's listing highlights Valrico, Florida; more addresses can appear in NPPES.
Why does BRANDON MENTAL HEALTH have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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