SPENCER RECOVERY CENTERS FLORIDA, INC.
NPI 1790163319
Psychiatric Residential Treatment Facility in St Augustine, FL

Active since May 14, 2015CLIA 10D2071676 · Waiver
189 SAN MARCO AVE, ST AUGUSTINE, FL 32084(800) 334-0394(949) 313-5222 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spencer Recovery Centers Florida, Inc. NPPES

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

SPENCER RECOVERY CENTERS FLORIDA, INC. (NPI 1790163319) is a healthcare organization registered as a psychiatric residential treatment facility in St Augustine, Florida and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through January 15, 2028, maintains a secondary practice location in St Pete Beach, and lists Charles Francis Kanute, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1790163319
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameSPENCER RECOVERY CENTERS FLORIDA, INC.
Location Address189 SAN MARCO AVESt Augustine, FL 32084-2733
Mailing AddressPo Box 9296Laguna Beach, CA 92652-7261
Fax(949) 313-5222
Organization SubpartNo
Authorized OfficialCharles Francis KanuteChief Operations Officer · (949) 315-9225
Enumeration DateMay 14, 2015
Last NPPES UpdateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
NPI 1790163319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License 0755AD237401 (FL)
189 SAN MARCO AVE, St Augustine, FL 32084

Secondary Practice Location 1

Location 1140 Corey AveSt Pete Beach, FL 33706-1814 · Phone (800) 334-0394 · Fax (949) 313-5222

Other Identifiers 2

OtherS5BFL · Florida Blue
OtherE5NFL · Florida Blue

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 10D2071676

Spencer Recovery Center Florida Dba Dr Pauls At The Bay · St Pete Beach, FL
Active · expires Jan 15, 2028
CLIA Number10D2071676
Laboratory TypeTreatment Center
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorSperos Hampilos
Laboratory Phone(727) 363-6991
Laboratory LocationSpencer Recovery Center Florida Dba Dr Pauls At The Bay140 Corey Ave, St Pete Beach, FL 33706
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Psychiatric Residential Treatment Facility
189 SAN MARCO AVE
ST AUGUSTINE, FL 32084
Skilled Nursing Facility
189 SAN MARCO AVE
ST AUGUSTINE, FL 32084

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 Spencer Recovery Centers Florida, Inc.'s NPI number?

The NPI number for Spencer Recovery Centers Florida, Inc. is 1790163319. It was assigned to this organization in the NPPES registry on May 14, 2015.

Where is Spencer Recovery Centers Florida, Inc. located?

Spencer Recovery Centers Florida, Inc. is located at 189 San Marco Ave, St Augustine, FL 32084. The listed phone number is (800) 334-0394.

What is Spencer Recovery Centers Florida, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Spencer Recovery Centers Florida, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2071676) is associated with this NPI, valid through January 15, 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 Spencer Recovery Centers Florida, Inc. was last updated on October 2, 2023. 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.