NPIMap

Organization Active NPI

Oglethorpe Psychmed Services of Florida Inc

  • Clinical Social Worker
  • Port St Lucie, FL
National Provider Identifier
1831385061
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OGLETHORPE PSYCHMED SERVICES OF FLORIDA INC
Practice address
2550 SE Walton Rd
Port St Lucie, FL 34952-7168
Phone
(772) 335-0400
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
John R. Picciano
Title
President
Phone
(772) 335-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2550 SE Walton Rd
Port St Lucie, FL 34952-7168

Mailing address

13406 Cortez Blvd
Brookville, FL 34613-6822
Phone (352) 597-5075

National Provider Directory

National Provider Directory

Locations

2500 S E Walton Rd
Port St Lucie, FL 34952
Phone (772) 335-0400

2500 S E Walton Rd
Port St Lucie, FL 34952
Phone (772) 335-0400

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1831385061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13406 CORTEZ BLVD",
            "city": "BROOKVILLE",
            "state": "FL",
            "postal_code": "346136822",
            "telephone_number": "352-597-5075",
            "fax_number": "352-897-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SE WALTON RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527168",
            "telephone_number": "772-335-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLETHORPE PSYCHMED SERVICES OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "PICCIANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-335-0400"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.