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

Space Coast Psychiatry, Inc

Organization Clinical Social Worker · NPI 1912316886

Space Coast Psychiatry, Inc is a Clinical Social Worker in Cocoa Beach, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

503 N Orlando Ave Ste 201
Cocoa Beach, FL 32931-3171
Phone: (321) 613-5595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence ME116732 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW5028 (FL)

Record details

NPI number1912316886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Llinas — President · (321) 613-5595
NPI enumeratedAugust 5, 2014
Last updated in NPPESAugust 5, 2014
Mailing address503 N Orlando Ave, Suite 201, Cocoa Beach, FL 32931-3171

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