Active NPI
Oglethorpe of Orlando Inc
- Psychiatric Hospital
- Saint Cloud, FL
National Provider Identifier
1952839201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- OGLETHORPE OF ORLANDO INC
- Practice address
- 91 Beehive Cir
Saint Cloud, FL 34769-1432 - Phone
- (885) 973-7333
- NPI assigned
- May 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Roberts
- Title
- Director Revenue Cycle Management
- Phone
- (423) 895-0084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
91 Beehive Cir
Saint Cloud, FL 34769-1432
Mailing address
7074 Grove Rd Ste 129
Brooksville, FL 34609-8658
Phone (813) 978-1933
Other names 1
- The Blackberry Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
Hospital certification: CCN 104081
- Legal name
- OGLETHORPE OF ORLANDO INC
- Doing business as
- THE BLACKBERRY CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Aug 23, 2018
- Last certification
- Aug 23, 2018
- Beds
- 64
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Jul 26, 2012 in FL
- Enrollment address
- 91 Beehive Cir
Saint Cloud, FL 34769-1432 - Hospital subgroups
- Psychiatric
Care Compare: Hospital
Medicare Care Compare- Listed as
- Blackberry Center - Oglethorpe of Orlando
- Type
- Psychiatric
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- No
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2141885 | Blackberry Center, the | Certificate of waiver | Dec 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
91 Beehive Cir
Saint Cloud, FL 34769
Phone (321) 517-4105
Networks
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Oglethorpe Inc | Operational/Managerial Control | Jul 26, 2012 | 100% |
| Warren Knight | Corporate Officer | Jul 26, 2012 | 1% |
| Scott Price | W-2 Managing Employee | Dec 1, 2014 | 1% |
| Robert M Cohen | 5% Or Greater Direct Ownership Interest | Jul 26, 2012 | 100% |
| Operational/Managerial Control | Jul 26, 2012 | ||
| James E Oshea | Corporate Officer | Jul 26, 2012 | 5% |
| James Coyle | Operational/Managerial Control | Sep 28, 2023 | 1% |
| John R Picciano | Corporate Officer | Jul 26, 2012 | 5% |
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Psychiatric Hospital
- Brooksville, FL
- NPI 1659557866
Oglethorpe Inc
-
- Psychiatric Hospital
- Port St Lucie, FL
- NPI 1093748162
Oglethorpe Inc
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Saint Cloud, FL
- NPI 1639368673
-
- Psychiatry Physician
- Kissimmee, FL
- NPI 1528035730
-
- Psychiatric/Mental Health Nurse Practitioner
- Orlando, FL
- NPI 1619223666
-
- Pharmacist
- Saint Cloud, FL
- NPI 1144153727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1952839201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7074 GROVE RD STE 129",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346098658",
"telephone_number": "813-978-1933",
"fax_number": "352-610-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 BEEHIVE CIR",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347691432",
"telephone_number": "885-973-7333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OGLETHORPE OF ORLANDO INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-31",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "423-895-0084"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Blackberry Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.