Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastline Neuropsychiatric

Organization Clinical Neuropsychologist · NPI 1043996986

Coastline Neuropsychiatric is a Clinical Neuropsychologist in Pensacola, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

890 S Palafox St Ste 300-L
Pensacola, FL 32502
Phone: (850) 341-4896
Fax: (850) 433-1996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1043996986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Groom — Owner · (850) 341-4896
NPI enumeratedJune 26, 2023
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing address304 W Gadsden St, Pensacola, FL 32501

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