Active NPI
Alexander Adelsberger, D.O.
- Child & Adolescent Psychiatry Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- OS15288
- Practice address
- 1000 Mar Walt Drive
Psychiatric Treatment Unit
Fort Walton Beach, FL 32547 - Phone
- (215) 590-7131
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | OT017006 | PA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | OS15288 | FL | Primary |
Addresses
Primary practice location
1000 Mar Walt Drive
Psychiatric Treatment Unit
Fort Walton Beach, FL 32547
Mailing address
1000 Mar Walt Drive
Psychiatric Treatment Unit
Fort Walton Beach, FL 32547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Philadelphia College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Mar Walt Dr
Fort Walton Psychiatric Hospitalist
Fort Walton Beach, FL 32547-6708
Phone (850) 315-4295
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS15288 | FL | MD | Child & Adolescent Psychiatry Physician |
| OT017006 | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Behavioral Health Inc | Current | Accepting new patients | |
| Meta Mental Health, Inc. | Current | Accepting new patients | |
| Emerald Coast Behavioral Hospital, LLC | Past | Accepting new patients |
Locations
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
2191 E Johnson Ave
Pensacola, FL 32514
Phone (850) 474-8360
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- Pensacola, FL
- NPI 1457336604
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Walton Beach, FL
- NPI 1043961378
-
- Psychiatric Hospital
- Panama City, FL
- NPI 1578795332
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1184066672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MAR WALT DRIVE",
"address_2": "PSYCHIATRIC TREATMENT UNIT",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "32547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MAR WALT DRIVE",
"address_2": "PSYCHIATRIC TREATMENT UNIT",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "32547",
"telephone_number": "215-590-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELSBERGER",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "OT017006",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "OS15288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.