NPIMap

Organization Active NPI

Apalachee Center Inc

  • Psychiatric Hospital
  • Tallahassee, FL
National Provider Identifier
1033215504
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
3914 Issued in FL
Legal business name
APALACHEE CENTER INC
Practice address
2634 Capital Cir NE
Tallahassee, FL 32308-4106
Phone
(850) 523-3333
Fax
(850) 523-3411
NPI assigned
Sep 15, 2006
Last updated
Oct 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
April D Landrum
Title
Director of Patient Financial Srvcs
Phone
(850) 523-2243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 3914 FL Primary

Addresses

Primary practice location

2634 Capital Cir NE
Tallahassee, FL 32308-4106

Mailing address

2634 Capital Cir NE
Tallahassee, FL 32308-4106
Phone (850) 523-3333

Other identifiers 1

IdentifierTypeStateIssuer
E14OtherFLBLUE CROSS/BLUE SHIELD

Other names 1

  • Eastside Psychiatric Hospital Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080811000296 FL Part A Provider - Hospital 3577556604 Practice locations: Tallahassee, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033215504. Details of each certification follow.

Hospital certification: CCN 104059

Legal name
APALACHEE CENTER INC
Doing business as
EASTSIDE PSYCHIATRIC HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Sep 9, 1991
Last certification
Feb 23, 2022
Beds
46
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 14, 1966 in FL
Enrollment address
2634 Capital Cir NE
Tallahassee, FL 32308-4106
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Eastside Psychiatric HospitalCCN 104059 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Apalachee Center Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Apalachee Center Inc Organization, Tallahassee, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 13, 1966 100%
Jay Reeve Individual Corporate Officer Apr 1, 2008
W-2 Managing Employee Apr 1, 2008
Dean Hilton Individual Corporate OfficerCfo Dec 8, 2017
W-2 Managing EmployeeCfo Dec 8, 2017
Sue Conger Individual Corporate OfficerCoo May 4, 2012
W-2 Managing EmployeeCoo May 4, 2012
April Landrum Individual W-2 Managing EmployeeDirector of Patient Financial Servi Jul 5, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1033215504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084106",
            "telephone_number": "850-523-3333",
            "fax_number": "850-523-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084106",
            "telephone_number": "850-523-3333",
            "fax_number": "850-523-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APALACHEE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT FINANCIAL SRVCS",
        "authorized_official_telephone_number": "850-523-2243"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "FL",
            "license": "3914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "E14",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Psychiatric Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Eastside Psychiatric Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.