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OUTPATIENT HEALTH VILLAGES SERVICES
NPI 1699597393
Psychologist - Addiction (Substance Use Disorder) in Wildwood, FL

Active since October 25, 2024CLIA 10D2301478 · Waiver
837 S MAIN STREET, WILDWOOD, FL 34785(561) 815-2649 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Outpatient Health Villages Services NPPES

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

OUTPATIENT HEALTH VILLAGES SERVICES (NPI 1699597393) is a healthcare organization registered as an addiction (substance use disorder) in Wildwood, Florida and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Anna Ackner, Coo, as its authorized official.

NPPES Registry Identity

NPI1699597393
Entity TypeOrganization
Primary Taxonomy103TA0400X
Legal Business NameOUTPATIENT HEALTH VILLAGES SERVICES
Location Address837 S MAIN STREETWildwood, FL 34785
Mailing Address1321 Upland Dr Ste 7672Houston, TX 77043
Phone(561) 815-2649
Organization SubpartNo
Authorized OfficialAnna AcknerCoo · (561) 815-2649
Enumeration DateOctober 25, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1699597393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
837 S MAIN STREET, Wildwood, FL 34785
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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: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Villages Services's NPI number?

The NPI number for Outpatient Health Villages Services is 1699597393. It was assigned to this organization in the NPPES registry on October 25, 2024.

Where is Outpatient Health Villages Services located?

Outpatient Health Villages Services is located at 837 S Main Street, Wildwood, FL 34785. The listed phone number is (561) 815-2649.

What is Outpatient Health Villages Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Does Outpatient Health Villages Services 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 Villages Services was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.