Onyx Behavioral Health, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

ONYX BEHAVIORAL HEALTH, LLC

Practice address

699 NW Airoso Blvd
Port St Lucie, FL 34983-1108

Phone

(772) 205-3160

Fax

(772) 673-0218

NPI assigned

Mar 14, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Philip Kesaris

Title

Ceo, Owner

Phone

(954) 665-3826

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1811698152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 NW AIROSO BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831108",
            "telephone_number": "772-205-3160",
            "fax_number": "772-673-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 NW AIROSO BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831108",
            "telephone_number": "772-205-3160",
            "fax_number": "772-673-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYX BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "KESARIS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "954-665-3826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Ann Olsen
• Roselore Morelus Omelait
• Tamekia Oneal
• Robert Oneill, M.ED.
• Margret Lynne Oniell
• Milena Opacic
• Optical Outlet Inc IV
• Optimus Care Physician Services PLLC
• Oracle Reference Labs LLC
• Kimberly B. Oram, PSY.D.

• Psychiatric Residential Treatment Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Psychiatric Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.