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FLORIDA STATE HOSPITAL
NPI 1578895470
Psychiatric Hospital in Chattahoochee, FL

Active since February 03, 2010CLIA Certified · 2 labs
100 N MAIN ST, CHATTAHOOCHEE, FL 32324(850) 663-7802(850) 663-7516 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Florida State Hospital NPPES

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

FLORIDA STATE HOSPITAL (NPI 1578895470) is a healthcare organization registered as a psychiatric hospital in Chattahoochee, Florida and active in the NPI registry since February 2010. The organization holds 2 active CLIA laboratory certificates and lists Stephen B Lewallen, Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1578895470
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameFLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Location Address100 N MAIN STChattahoochee, FL 32324-1107
Mailing Address100 N Main St, Financial Svcs., Bldg 1260, 3rd FloorChattahoochee, FL 32324-1107 · (850) 663-7802 · Fax (850) 663-7516
Phone(850) 663-7802
Fax(850) 663-7516
Organization SubpartYes
Authorized OfficialStephen B LewallenHospital Administrator · (850) 663-7536
Enumeration DateFebruary 3, 2010
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1578895470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in FL · 3990
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
100 N MAIN ST, Chattahoochee, FL 32324
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Other Names 1

Doing Business AsFlorida State Hospital

Other Identifiers 1

Medicaid026001100FL

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 10D0270276

Florida State Hospital Clinical Laboratory · Chattahoochee, FL
Active · expires Mar 25, 2027
CLIA Number10D0270276
Laboratory TypeHospital
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorStephen L. Sgan
Laboratory Phone(850) 663-1342
Laboratory LocationFlorida State Hospital Clinical Laboratory100 N Main St Palm Lane Bldg 1238, Chattahoochee, FL 32324
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 10D2009356

Florida State Hospital · Chattahoochee, FL
Active · expires Jun 30, 2028
CLIA Number10D2009356
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorKongsak Chantornsaeng
Laboratory Phone(850) 663-7496
Laboratory LocationFlorida State HospitalQuality Assessment Bldg 1249 100 N Main St, Chattahoochee, FL 32324
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MR. MICHAEL JON PEEL ARNP
Nurse Practitioner (Family)
100 N MAIN ST, FLORIDA STATE HOSPITAL
CHATTAHOOCHEE, FL 32324
Gadsden County (850) 663-7832
DR. MARILOU LEJANO SAN AGUSTIN M.D.
Psychiatry & Neurology (Psychiatry)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Gadsden County (850) 663-7807
DR. NICHOLE ANN LIVINGSTON PSY.D.
Psychologist (Clinical)
100 N MAIN ST, FLORIDA STATE HOSPITAL
CHATTAHOOCHEE, FL 32324
Gadsden County (850) 663-7788
CLARISSA CLUKIE PSY.D.
Psychologist (Clinical)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Gadsden County (850) 663-7489
MR. TYLER OWEN PICKENS RN, BSN
Registered Nurse (Psychiatric/Mental Health, Adult)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Gadsden County (850) 663-7905
CONNOR ALLEN SCHIFFER M.A.
Student in an Organized Health Care Education/Training Program
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Gadsden County (850) 663-1046
MRS. STEPHANIE MCKINNIE BEAUCHAMP APRN
Nurse Practitioner (Psychiatric/Mental Health)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Gadsden County (850) 663-7501
DUSTY TYLER YOUNG
Registered Nurse
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Gadsden County (850) 663-1046

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 Florida Department Of Children And Families's NPI number?

The NPI number for Florida Department Of Children And Families is 1578895470. It was assigned to this organization in the NPPES registry on February 3, 2010. The provider is doing business as Florida State Hospital.

Where is Florida Department Of Children And Families located?

Florida Department Of Children And Families is located at 100 N Main St, Chattahoochee, FL 32324. The listed phone number is (850) 663-7802.

What is Florida Department Of Children And Families's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Florida Department Of Children And Families hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Florida Department Of Children And Families was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.