Flagler Hospital Inc. (Behavioral Health)

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FLAGLER HOSPITAL INC. (BEHAVIORAL HEALTH)

Doing business as

Flagler Hospital Behavioral Health Associates

Practice address

201 Health Park Blvd
Suite 211
St Augustine, FL 32086-5796

Phone

(904) 819-2295

Fax

(904) 819-2294

NPI assigned

Aug 12, 2015

Organization subpart

Yes

Parent organization

FLAGLER HOSPITAL INC.As reported in NPPES

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

Authorized official

Name

Ms. Dawn Delano Broun, LMHC

Title

Psychiatric Ur Coordinator

Phone

(904) 819-5288

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Flagler Hospital Behavioral Health Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Flagler Hospital

  • Psychiatric Hospital Unit
  • St Augustine, FL
  • NPI 1942475074

  O20041210000683

  Same enrollment
• Flagler Hospital Inc

  • General Acute Care Hospital
  • St Augustine, FL
  • NPI 1144211020

  O20041210000683

  Same enrollment

Tax ID family

Community Home HLTH3 organizations share this tax ID, including this one

Part of

Community Home HLTH

Other organizations with this tax ID 2

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

• Flagler Hospital

  • Psychiatric Hospital Unit
  • St Augustine, FL
  • NPI 1942475074
  NPD tax ID
• Flagler Hospital, Inc.

  • Radiology Clinic/Center
  • Saint Augustine, FL
  • NPI 1689050965
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73052

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Burke, PA-C

  • Physician Assistant
  • Saint Augustine, FL
  • NPI 1952912826
  NPD
• Heather Sherry-Anne Luing, MD

  • Psychiatry Physician
  • Saint Augustine, FL
  • NPI 1952477366
  NPD
• Daniel Aaron Weinberg, MD

  • Psychiatry Physician
  • Orange Park, FL
  • NPI 1124291885
  NPD

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1235505355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD",
            "address_2": "SUITE 211",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865796",
            "telephone_number": "904-819-2295",
            "fax_number": "904-819-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD",
            "address_2": "SUITE 211",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865796",
            "telephone_number": "904-819-2295",
            "fax_number": "904-819-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER HOSPITAL INC. (BEHAVIORAL HEALTH)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLAGLER HOSPITAL INC.",
        "enumeration_date": "2015-08-12",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "BROUN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "DELANO",
        "authorized_official_title_or_position": "PSYCHIATRIC UR COORDINATOR",
        "authorized_official_telephone_number": "904-819-5288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "4392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010171100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagler Hospital Behavioral Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Flagler Hospital, Inc.
• Flagler Hospital, Inc.
• Flagler Hospital, Inc.
• Flagler Hospital, Inc.

• Psychiatry Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.