OUTPATIENT HEALTH SERVICES LLC
NPI 1356884712
Family Medicine - Addiction Medicine in Port St Lucie, FL
NPI Status: Active since December 02, 2016
Contact Information
1405 SE GOLDTREE DR STE D
PORT ST LUCIE, FL
ZIP 34952
Phone: (561) 815-2649
- Organization
- Family Medicine
- Addiction Medicine
- CLIA Number: 10D2301478
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-25-2028
About OUTPATIENT HEALTH SERVICES LLC
This page provides the complete NPI Profile along with additional information for Outpatient Health Services Llc, a provider established in Port St Lucie, Florida operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1356884712 assigned on December 2016. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated one year ago. Outpatient Health Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Romy Amilca (Rcm Manager)
- NPI
- 1356884712
- Provider Name
- OUTPATIENT HEALTH SERVICES LLC
- Entity Type
- Organization
- Location Address
- 1405 SE GOLDTREE DR STE D PORT ST LUCIE, FL 34952
- Location Phone
- (561) 815-2649
- Mailing Address
- 401 OLD DIXIE HWY UNIT 3539 JUPITER, FL 33469
- Mailing Phone
- (561) 815-2649
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-02-2016
- Last Update Date
- 08-29-2025
- Code Navigator
Location Map
Secondary Locations
- 661 Eyster Blvd
Rockledge, FL 32955
(561) 815-2649 - 7330 Powell Rd
Wildwood, FL 34785
(772) 248-4800
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2301478
- Facility Type
- Physician Office
- Certificate Effective Date
- March 26, 2026
- Certificate Expiration Date
- March 25, 2028
- Laboratory Director
- RAFAEL MUNNE-QUINTANA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Outpatient Health Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356884712, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
PORT SAINT LUCIE, FL 34952
PORT SAINT LUCIE, FL 34952
PORT ST LUCIE, FL 34952
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356884712, enumerated as an "organization" on December 02, 2016.
The provider is located at 1405 SE GOLDTREE DR STE D PORT ST LUCIE, FL 34952 and the phone number is (561) 815-2649.
Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.
