Organization Active NPI

Windmoor Healthcare Inc

Doing business as Windmoor Healthcare of Clearwater

  • Psychiatric Hospital
  • Clearwater, FL
National Provider Identifier
1891888558
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
4037 Issued in FL
Legal business name
WINDMOOR HEALTHCARE INC
Doing business as
Windmoor Healthcare of Clearwater
Practice address
11300 US 19 N
Clearwater, FL 33764-7451
Phone
(727) 541-2646
Fax
(727) 541-4402
NPI assigned
Oct 2, 2006
Last updated
Dec 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Steve Filton
Title
SRVP Cfo
Phone
(610) 768-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 4037 FL Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

11300 US 19 N
Clearwater, FL 33764-7451

Mailing address

11300 US 19 N
Clearwater, FL 33764-7451
Phone (727) 541-2646

Other practice location 1

3508 N Armenia Ave
Tampa, FL 33607-1608
Phone (813) 739-6611

Other identifiers 1

IdentifierTypeStateIssuer
E 84OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Windmoor Healthcare of Clearwater Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080122000703 FL Part A Provider - Hospital 2668553199 Practice locations: Clearwater, FL; Tampa, FL
O20181108002750 FL Part B Supplier - Clinic/Group Practice 2668553199 Receives reassigned benefits from 38 practitioners
Practice locations: Clearwater, FL; Tampa, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891888558. Details of each certification follow.

Hospital certification: CCN 104017

Legal name
WINDMOOR HEALTHCARE INC
Doing business as
WINDMOOR HEALTHCARE OF CLEARWATER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 29, 1980
Last certification
Apr 9, 2015
Beds
144
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Aug 15, 1997 in FL
Enrollment address
11300 US Highway 19 North
Clearwater, FL 33764-7451
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Windmoor Healthcare of ClearwaterCCN 104017 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0954487Windmoor Healthcare of Clearwater11300 US 19 North, Clearwater, FL 33764Certificate of waiverNov 30, 2026
10D2087172Windmoor Healthcare3508 N Armenia Ave, Tampa, FL 33607Certificate of waiverNov 17, 2026
10D2158489Windmoor Healthcare11300 US Hwy 19 North, Clearwater, FL 33764Certificate of waiverNov 28, 2026

National Provider Directory

National Provider Directory

Locations

11300 US Highway 19 N
Clearwater, FL 33764
Phone (727) 541-2646

2299 9th Ave N
Ste 1G
St Petersburg, FL 33713
Phone (727) 541-2646

3508 N Armenia Ave
Tampa, FL 33607
Phone (727) 541-2646

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Premier Behavioral Solutions, Inc. Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2006 100%
George H Brunner Individual Corporate OfficerAssistant Secretary Nov 15, 2010 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVP, Board Member Nov 15, 2010 100%
Corporate DirectorVP, Board Member Nov 15, 2010 33.33%
Operational/Managerial ControlVP, Board Member Nov 15, 2010 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Operational/Managerial ControlTreasurer Nov 15, 2010 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Nov 15, 2010 50%
Ryan J McClure Individual Contracted Managing EmployeeCfo Feb 10, 2025
Corporate OfficerCfo Feb 10, 2025
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Nov 15, 2010 100%
Joshue Rodriguez Individual Contracted Managing EmployeeCeo Jul 18, 2018 100%
Corporate OfficerCeo Jul 18, 2018 100%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 10, 2005 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman of the Board Mar 18, 2024 87.4%

Facilities with the same owner 172

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

View all 172

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1891888558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 US 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337647451",
            "telephone_number": "727-541-2646",
            "fax_number": "727-541-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 US 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337647451",
            "telephone_number": "727-541-2646",
            "fax_number": "727-541-4402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3508 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336071608",
            "country_code": "US",
            "telephone_number": "813-739-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINDMOOR HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SRVP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "FL",
            "license": "4037",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "E 84",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windmoor Healthcare of Clearwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.