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PARK PLACE BEHAVIORAL HEALTH CARE
NPI 1336583574
Community/Behavioral Health in Kissimmee, FL

Active since April 18, 2013CLIA 10D0870885 · Waiver
200 PARK PLACE BLVD, KISSIMMEE, FL 34741(407) 846-0023(407) 483-1064 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Place Behavioral Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK PLACE BEHAVIORAL HEALTH CARE (NPI 1336583574) is a healthcare organization registered as a community/behavioral health in Kissimmee, Florida and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists James A Shanks, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1336583574
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameOSCEOLA MENTAL HEALTH INC.
Location Address200 PARK PLACE BLVDKissimmee, FL 34741-2344
Mailing Address200 Park Place BlvdKissimmee, FL 34741-2344 · (407) 846-0023 · Fax (407) 483-1064
Phone(407) 846-0023
Fax(407) 483-1064
Organization SubpartNo
Authorized OfficialJames A ShanksPresident/ceo · (407) 846-0023
Enumeration DateApril 18, 2013
✔ NPI 1336583574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in FL · 8503
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
200 PARK PLACE BLVD, Kissimmee, FL 34741
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Other Names 1

Doing Business AsPark Place Behavioral Health Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0870885

Park Place Behavioral Healthcare · Kissimmee, FL
Active · expires Aug 31, 2026
CLIA Number10D0870885
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNan S. Cardenas - Miller
Laboratory Phone(407) 846-0023
Laboratory LocationPark Place Behavioral Healthcare206 Park Place Blvd, Kissimmee, FL 34741
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUPER SAVER PHARMACY # 2
Durable Medical Equipment & Medical Supplies
200 PARK PLACE BLVD
KISSIMMEE, FL 34741
Osceola County (407) 846-0765
JAYLEENE BRUNO MH19790
Counselor (Mental Health)
200 PARK PLACE BLVD
KISSIMMEE, FL 34741
Osceola County (407) 846-0023
MRS. AMY ELIZABETH ESHLEMAN LCSW
Social Worker (Clinical)
200 PARK PLACE BLVD
KISSIMMEE, FL 34741
Osceola County (407) 846-0023
JUDY WANJIRU NGANGA NP
Psychiatry & Neurology (Psychiatry)
200 PARK PLACE BLVD
KISSIMMEE, FL 34741
Osceola County (407) 846-0023
MARIA E DE LA CRUZ APRN
Nurse Practitioner (Primary Care)
200 PARK PLACE BLVD
KISSIMMEE, FL 34741
Osceola County (407) 846-0023
PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC
Clinic/Center (Federally Qualified Health Center (FQHC))
200 PARK PLACE BLVD
KISSIMMEE, FL 34741
Osceola County (407) 943-8600
DR. SYLVIA BECHARA PSY.D.
Counselor (Mental Health)
200 PARK PLACE BLVD
KISSIMMEE, FL 34741
Osceola County (407) 846-0023
MRS. CHARLENE MATHURA RPH
Pharmacist
200 PARK PLACE BLVD
KISSIMMEE, FL 34741
Osceola County (407) 846-0765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Osceola Mental Health Inc.'s NPI number?

The NPI number for Osceola Mental Health Inc. is 1336583574. It was assigned to this organization in the NPPES registry on April 18, 2013. The provider is doing business as Park Place Behavioral Health Care.

Where is Osceola Mental Health Inc. located?

Osceola Mental Health Inc. is located at 200 Park Place Blvd, Kissimmee, FL 34741. The listed phone number is (407) 846-0023.

What is Osceola Mental Health Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Osceola Mental Health Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0870885) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Osceola Mental Health Inc. was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.