FLAGLER HOSPITAL INC. (BEHAVIORAL HEALTH) (NPI# 1235505355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235505355 |
| Entity Type | Organization |
| Organization Name | FLAGLER HOSPITAL INC. (BEHAVIORAL HEALTH) |
| Other Organization Name | FLAGLER HOSPITAL BEHAVIORAL HEALTH ASSOCIATES |
| Practice Address |
201 Health Park Blvd Suite 211 St Augustine FL 32086-5796 |
| Practice Telephone | 9048192295 |
| Practice Fax Number | 9048192294 |
| Mailing Telephone | 9048192295 |
| Mailing Fax Number | 9048192294 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | MS. DAWN DELANO BROUN (PSYCHIATRIC UR COORDINATOR) |
| Authorized Official Telephone | 9048195288 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | Y |
| Parent Organization Name | FLAGLER HOSPITAL INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
4392 | FL | Ambulatory Health Care Facilities |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010171100 | 05 |
| Other Name | Type Code |
|---|---|
| Flagler Hospital Behavioral Health Associates | Doing Business As Name - Organization |
| Street Address |
201 HEALTH PARK BLVD SUITE 211 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952364713 | John S Koppman | Surgery | 201 Health Park Blvd, Suite 103, St Augustine, FL 32086-5796 | 2006-04-11 |
| 1598192890 | John S. Koppman Md Pl | Surgery | 201 Health Park Blvd, Ste 103, St Augustine, FL 32086-5796 | 2013-10-01 |
| 1144526708 | Amnath Kirdnual, M.d., P.a. | Obstetrics & Gynecology | 201 Health Park Blvd, Suite 211, St Augustine, FL 32086-5796 | 2011-01-31 |
| 1528276185 | Gregory E Oxford | Dentist | 201 Health Park Blvd, Suite 216, St Augustine, FL 32086-5797 | 2007-05-18 |
| 1285842831 | Isabell G Oxford | Dentist | 201 Health Park Blvd, Suite 216, St Augustine, FL 32086-5797 | 2007-05-18 |
| 1083769749 | Eyyunni Pa | Otolaryngology | 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 | 2007-01-24 |
| 1871640250 | Billie J Russell | Nurse Practitioner | 201 Health Park Blvd, Suite 105, St Augustine, FL 32086-5796 | 2007-01-05 |
| 1013074004 | James Fallon Jeffrey | Physician Assistant | 201 Health Park Blvd, Suite 105, St Augustine, FL 32086-5796 | 2007-01-02 |
| 1982798740 | Robert C Kelsey Md Pa | Internal Medicine | 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 | 2006-10-03 |
| 1558460667 | Ramanujam S Eyyunni | Surgery | 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750946158 | First Coast Integrative Psychiatry | Psychiatry & Neurology | 304 Kingsley Lake Dr Ste 601, St Augustine, FL 32092-3042 | 2019-05-01 |
| 1386163939 | Flagler Psychiatric Associates | Psychiatry & Neurology | 6277 A1a S Unit 202, St Augustine, FL 32080-7515 | 2017-09-14 |
| 1790998425 | Charles Joep Van Der Heide | Psychiatry & Neurology | 24 Lee Dr, St Augustine, FL 32080-5981 | 2007-05-08 |
| 1164573663 | Robert W Olds Jr. | Psychiatry & Neurology | 301 Health Park Blvd Ste 326, St Augustine, FL 32086-5771 | 2007-01-13 |
| 1366431835 | Eneida Gomez | Psychiatry & Neurology | 1750 Tree Blvd, Ste 5, St Augustine, FL 32084-5715 | 2005-10-18 |
| 1548264518 | Emanuel Martinez | Psychiatry & Neurology | 315 W Town Pl, Suite 3, St Augustine, FL 32092-3104 | 2005-06-08 |
| 1730410812 | Todd Broder Md Pl | Psychiatry & Neurology | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2010-01-29 |
| 1285809012 | Stanley A Cohen Do Pa | Psychiatry & Neurology | 354 Paseo Reyes Dr, St Augustine, FL 32095-8464 | 2008-04-23 |
| 1225248917 | George Robert Baringer | Psychiatry & Neurology | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2007-05-23 |
| 1396801361 | Odalys Brito Md & Associates Pa | Psychiatry & Neurology | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2006-12-27 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on FLAGLER HOSPITAL INC. (BEHAVIORAL HEALTH).
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.