INSIGHT BEHAVIORAL HEALTH & ADDICTION SOLUTIONS, INC. (NPI# 1417322371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417322371 |
| Entity Type | Organization |
| Organization Name | INSIGHT BEHAVIORAL HEALTH & ADDICTION SOLUTIONS, INC. |
| Other Organization Name | CLEAN RECOVERY CENTERS |
| Practice Address |
508 W Fletcher Ave Suite A Tampa FL 33612-3413 |
| Practice Telephone | 7862717332 |
| Practice Fax Number | 9543695038 |
| Mailing Telephone | 7862717332 |
| Mailing Fax Number | 9543695038 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | SHAYNE SUNDHOLM (CEO) |
| Authorized Official Telephone | 8883302532 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
29=========01 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clean Recovery Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789478 | Insight Behavioral Health & Addiction Solutions, Inc. | Psychiatric Residential Treatment Facility | 1116 Dogwood Ave, Tampa, FL 33613-1718 | 2020-01-07 |
| 1154960417 | Insight Behavioral Health & Addiction Solutions, Inc. | Psychiatric Residential Treatment Facility | 14806 Wedgewood Dr, Tampa, FL 33613-1529 | 2020-01-03 |
| 1508403965 | Insight Behavioral Health & Addiction Solutions, Inc. | Substance Abuse Rehabilitation Facility | 9270 Royal Palm Ave, New Port Richey, FL 34654-5018 | 2019-12-04 |
| Street Address |
508 W FLETCHER AVE SUITE A |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821468224 | Multiple Innovations To Recovery LLC | Clinic/Center | 1910 Orient Rd, Tampa, FL 33619-3354 | 2015-09-29 |
| 1922105188 | Healthcare Connection of Tampa Inc. | Clinic/Center | 825 W Linebaugh Ave, Tampa, FL 33612 | 2006-09-20 |
| 1952772360 | Frankie E. Valle, P.a. | Clinic/Center | 9225 Bay Plaza Blvd, Suite 418, Tampa, FL 33619-4466 | 2015-10-12 |
| 1083084164 | Multiple Innovations To Recovery, LLC | Clinic/Center | 9225 Bay Plaza Blvd, Suite 418, Tampa, FL 33619-4466 | 2015-10-01 |
| 1003299645 | Frankie E. Valle, P.a. | Clinic/Center | 9225 Bay Plaza Blvd, Suite 418, Tampa, FL 33619-4466 | 2015-07-01 |
| 1477949303 | Phoenix Programs of Florida, Inc. Dba Phoenix Houses of Florida, Inc. | Clinic/Center | 5501 W Waters Ave, Suite 404, Tampa, FL 33634-1229 | 2015-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839283 | St John's Recovery Place LLC | Clinic/Center | St Johns Recovery Place LLC, 1811 S Orlando Ave, Cocoa Beach, FL 32931-3211 | 2020-07-24 |
| 1205451689 | Inspire of Palm Beach | Clinic/Center | 1803 S Australian Ave, West Palm Beach, FL 33409-6454 | 2020-06-11 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1265054761 | Holistix Treatment Centers, LLC | Clinic/Center | 5311 Lake Worth Rd, Greenacres, FL 33463-3353 | 2020-05-07 |
| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
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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.