NPIMap

Organization Active NPI

North Broward Hospital District

Doing business as Broward Health Medical Center - Psych

  • Psychiatric Hospital Unit
  • Fort Lauderdale, FL
National Provider Identifier
1578761995
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
4128 Issued in FL
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Doing business as
Broward Health Medical Center - Psych
Practice address
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone
(954) 355-5500
NPI assigned
Jul 6, 2007
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH BROWARD HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Alisa Bert
Title
SVP Cfo
Phone
(954) 473-7483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 4128 FL Primary

Addresses

Primary practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Mailing address

PO Box 24587
New York, NY 10087-3787
Phone (954) 847-4315

Other identifiers 1

IdentifierTypeStateIssuer
010012901MedicaidFL

Other names 1

  • Broward Health Medical Center - Psych Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070802000061 FL Part A Provider - Hospital 3577472422 1 other NPI on this enrollment
Practice locations: Fort Lauderdale, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578761995. Details of each certification follow.

Hospital certification: CCN 10S039

Legal name
NORTH BROWARD HOSPITAL DISTRICT
Doing business as
BROWARD HEALTH MEDICAL CENTER-PSYCH UNIT
Organization structure
GovernmentNon-profit
Enrollment address
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 24

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

View all 24

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
N Btroward Hospital Dis140 organizations share this tax ID, including this one
Part of
N Btroward Hospital Dis

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Networks

  • HealthSun Health Plans Network

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Stuart M Glassberg Individual W-2 Managing EmployeeThird Party Reimbursement Manage Jun 25, 2010
Nancy Gregoire Individual Corporate OfficerBoard of Commisioners Member Dec 1, 2017
Manuel Linares Individual Corporate OfficerCeo Jan 8, 2024
Corporate DirectorCeo Jan 8, 2024
Operational/Managerial ControlCeo Jan 8, 2024
Stacy Angier Individual Corporate OfficerBoard of Commissioners Member Oct 19, 2018
North Broward Hospital District Organization, Fort Lauderdale, FL Operational/Managerial Control Jul 1, 2007
Paul C. Tanner Individual Corporate OfficerBoard Commissioner Member May 20, 2022
Corporate DirectorBoard Commissioner Member May 20, 2022
Operational/Managerial ControlBoard Commissioner Member May 20, 2022
Ray Berry Individual Corporate OfficerBoard of Commisioners Member May 11, 2018
Levi Williams Individual Corporate OfficerBoard Member Apr 2, 2021
Shane Strum Individual Corporate OfficerCeo Mar 29, 2021
Corporate Director Mar 29, 2021
Operational/Managerial ControlCeo Mar 29, 2021
Christopher Pernicano Individual Corporate OfficerBoard Member Apr 2, 2021
Jonathan Hage Individual Corporate OfficerBoard Member Apr 2, 2021
Alisa Bert Individual Corporate OfficerCfo Mar 3, 2023
Corporate DirectorCfo Mar 3, 2023
Operational/Managerial Control Mar 3, 2023

Owners & managing parties with NPI records 24

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

View all 24

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broward Health NorthDeerfield Beach, FL, CCN 100086 Hospital Operational/Managerial Control May 14, 2008
Broward Health Imperial PointFort Lauderdale, FL, CCN 100200 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1984
Jan 1, 1984
Broward Health Coral SpringsCoral Springs, FL, CCN 100276 Hospital Operational/Managerial Control (100%) Mar 17, 1987
Broward Health Imperial Point-Psych UnitFort Lauderdale, FL, CCN 10S200 Hospital Operational/Managerial Control (100%) Jul 1, 1984
Broward Health North- Rehab UnitDeerfield Beach, FL, CCN 10T086 Hospital Operational/Managerial Control May 13, 2008
Pompano Adult Primary CarePompano Beach, FL, CCN 101840 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1993
Oct 1, 1993
Specialty Care CenterFort Lauderdale, FL, CCN 101841 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1993
Jul 1, 1993
Margate Health CenterMargate, FL, CCN 681892 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1993
Oct 1, 1993

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1578761995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24587",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873787",
            "telephone_number": "954-847-4315",
            "fax_number": "954-847-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-355-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "enumeration_date": "2007-07-06",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "BERT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "SVP CFO",
        "authorized_official_telephone_number": "954-473-7483"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "FL",
            "license": "4128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010012901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Health Medical Center - Psych",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broward Health Medical Center - Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.