Chrysalis Health – Community/Behavioral Health Agency, NPI 1700961646
Community/Behavioral Health Agency
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Chrysalis Health
2700 S Blair Stone Rd Ste 100
Tallahassee, FL 323015928
Phone: (954) 587-1008
Type: Location
1531 SW Commercial Gln
Lake City, FL 320250454
Phone: (954) 587-1008
Type: Location
3521 W Broward Blvd Ste 208
Lauderhill, FL 333121020
Phone: (888) 587-0335
Type: Location
1851 Saint Mary Ave Ste A
Pensacola, FL 325011053
Phone: (888) 587-0335
Type: Location
3080 Tamiami Trl E Unit 301
Naples, FL 341125777
Phone: (954) 587-1008
Type: Location
24758 SR 54 Unit 104
Lutz, FL 335596249
Phone: (954) 587-1008
Type: Location
815 NW 57th Ave Ste 480
Miami, FL 331262592
Phone: (888) 587-0335
Type: Location
7821 N Dale Mabry Hwy
Tampa, FL 336143275
Phone: (888) 587-0335
Type: Location
421 W Oak Ave
Panama City, FL 324012737
Phone: (888) 587-0335
Type: Location
412 S Palmetto Ave
Daytona Beach, FL 321144922
Phone: (888) 587-0335
Type: Location
230 S Dixie Hwy Ste 102
Lake Worth, FL 334604154
Phone: (888) 587-0335
Type: Location
2121 Corporate Square Blvd Ste 124-125
Jacksonville, FL 322160309
Phone: (888) 587-0335
Type: Location
2944 Penn Ave Ste L
Marianna, FL 324482741
Phone: (888) 587-0335
Type: Location
111 S Maitland Ave Ste 205
Maitland, FL 327515647
Phone: (888) 587-0335
Type: Location
825 NW 23rd Ave Bldg 2
Gainesville, FL 326093574
Phone: (954) 587-1008
Type: Location
333 Tamiami Trl S Ste 272
Venice, FL 342852427
Phone: (888) 587-0335
Type: Location
5601 Corporate Way Ste 119
West Palm Beach, FL 334072041
Phone: (954) 587-1008
Type: Location
100, West Broward Boulevard, Fort Lauderdale, Broward County, Florida, 33312, United States
FORT LAUDERDALE, FL 333121018
Phone: (954) 587-1008
Fax: (954) 587-0080
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: 2009-11-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20091106000319 | O | Clinic/Group Practice | FL | TBD |
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.
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 32301)
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