CLARKE COUNSELING AND PSYCHOLOGICAL SERVICES (NPI# 1063054310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063054310 |
| Entity Type | Organization |
| Organization Name | CLARKE COUNSELING AND PSYCHOLOGICAL SERVICES |
| Other Organization Name | PSYCHOLOGIST OFFICE |
| Practice Address |
710 Oakfield Dr Brandon FL 33511-4938 |
| Mailing Address |
710 Oakfield Dr Ste 153 Brandon FL 33511-4954 |
| Practice Telephone | 8134458575 |
| Practice Fax Number | 8136498085 |
| Mailing Telephone | 8134458575 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-11-08 |
| Authorized Official Name | NICKEISHA K CLARKE (PROVIDER) |
| Authorized Official Telephone | 8134458575 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1245710904 | 01 |
| Other Name | Type Code |
|---|---|
| Psychologist office | Other Name - Individual/Organization |
| Street Address |
710 OAKFIELD DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112909 | Troy P Noonan | Specialist | 710 Oakfield Dr, Ste 261, Brandon, FL 33511-4937 | 2005-05-24 |
| 1487109831 | Ray of Sunshine Empowerment Services LLC | Social Worker | 710 Oakfield Dr, Suite 210, Brandon, FL 33511-4938 | 2016-08-15 |
| 1194116053 | Mainstay Home Health LLC | Home Health | 710 Oakfield Dr, Ste 263, Brandon, FL 33511-4938 | 2015-02-13 |
| 1194068544 | Edward Salvatore Mortellaro Jr. | Dentist | 710 Oakfield Dr, Suite 126, Brandon, FL 33511-4938 | 2013-04-04 |
| 1386993947 | Suncoast Community Health Centers, Inc | Clinic/Center | 710 Oakfield Dr, Suite 105, Brandon, FL 33511-4938 | 2012-08-29 |
| 1184918526 | Acupuncture and Natural Medicine LLC | Acupuncturist | 710 Oakfield Dr, Suite 204, Brandon, FL 33511-4938 | 2011-06-02 |
| 1952633851 | Elsa Marie Oben | Psychologist | 710 Oakfield Dr, Suite 153, Brandon, FL 33511-4938 | 2010-02-03 |
| 1174728869 | Erin Marie Smith | Psychologist | 710 Oakfield Dr, Suite 159, Brandon, FL 33511-4938 | 2007-06-20 |
| 1184796138 | Nicholas F Colmenares I | Dentist | 710 Oakfield Dr, Ste 105, Brandon, FL 33511 | 2006-11-14 |
| 1366535767 | Mary A Rutherford | Social Worker | 710 Oakfield Dr, Suite 159, Brandon, FL 33511-4938 | 2006-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063428761 | Madison Rankin Simpson Mental Health | Clinic/Center | 613 Marquette Road, Brandon, MS 39042 | 2006-08-01 |
| 1114525490 | Stino Therapies | Clinic/Center | 746 Burlwood St, Brandon, FL 33511-2802 | 2020-10-09 |
| 1013577956 | Mindful and Present Counseling, LLC | Clinic/Center | 1219 Millennium Pkwy Ste 116, Brandon, FL 33511-3891 | 2019-06-13 |
| 1376816900 | Region 8 Mh Mr Commission Bridges | Clinic/Center | 613 Marquette Rd, Brandon, MS 39042-3038 | 2012-02-13 |
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|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.