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OUTPATIENT HEALTH SERVICES LLC
NPI 1356884712
Family Medicine - Addiction Medicine in Port St Lucie, FL

Active since December 02, 2016CLIA 10D2301478 · Waiver
1405 SE GOLDTREE DR STE D, PORT ST LUCIE, FL 34952(561) 815-2649 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2025, Feb 25, 2025, May 8, 2024 and 5 more (8 updates tracked since 2018).

About Outpatient Health Services Llc NPPES

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

OUTPATIENT HEALTH SERVICES LLC (NPI 1356884712) is a healthcare organization registered as an addiction medicine in Port St Lucie, Florida and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through March 25, 2028, maintains 2 additional practice locations, and lists Romy Amilca, Rcm Manager, as its authorized official.

NPPES Registry Identity

NPI1356884712
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameOUTPATIENT HEALTH SERVICES LLC
Location Address1405 SE GOLDTREE DR STE DPort St Lucie, FL 34952-7563
Mailing Address401 Old Dixie Hwy Unit 3539Jupiter, FL 33469-2442 · (561) 815-2649
Phone(561) 815-2649
Organization SubpartNo
Authorized OfficialRomy AmilcaRcm Manager · (772) 248-4800
Enumeration DateDecember 2, 2016
Last NPPES UpdateAugust 29, 20258 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1356884712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
1405 SE GOLDTREE DR STE D, Port St Lucie, FL 34952
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1661 Eyster BlvdRockledge, FL 32955-8119 · Phone (561) 815-2649
Location 27330 Powell RdWildwood, FL 34785-4230 · Phone (772) 248-4800 · Fax (772) 477-0001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2301478

Outpatient Health Services LLC · Port Saint Lucie, FL
Active · expires Mar 25, 2028
CLIA Number10D2301478
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorRafael Munne-Quintana
Laboratory Phone(561) 815-2649
Laboratory LocationOutpatient Health Services LLC1405 SE Goldtree Drive Ste D, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

SANDPIPER WELLNESS & THERAPY, LLC
Clinic/Center (Rehabilitation)
1405 SE GOLDTREE DR STE D
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 800-3990
DR. JAY R TRABIN MD
Obstetrics & Gynecology (Gynecology)
1405 SE GOLDTREE DR STE D
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 800-7001
ANTONIO SOEGAARD MD
Obstetrics & Gynecology
1405 SE GOLDTREE DR STE D
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 800-7001
NEUROPSYCH SOLUTIONS LLC
Psychologist (Addiction (Substance Use Disorder))
1405 SE GOLDTREE DR STE D
PORT ST LUCIE, FL 34952
St. Lucie County (772) 248-4800

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 Outpatient Health Services LLC's NPI number?

The NPI number for Outpatient Health Services LLC is 1356884712. It was assigned to this organization in the NPPES registry on December 2, 2016.

Where is Outpatient Health Services LLC located?

Outpatient Health Services LLC is located at 1405 SE Goldtree Dr Ste D, Port St Lucie, FL 34952. The listed phone number is (561) 815-2649.

What is Outpatient Health Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Outpatient Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2301478) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Outpatient Health Services LLC was last updated on August 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.