THE ANCHOR CLINIC, LLC (NPI# 1629161435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629161435 |
| Entity Type | Organization |
| Organization Name | THE ANCHOR CLINIC, LLC |
| Other Organization Name | ANCHOR CLINIC |
| Practice Address |
890 South Palafox Street Suite 300 Pensacola FL 32502 |
| Practice Telephone | 8504331656 |
| Practice Fax Number | 8504331996 |
| Mailing Telephone | 8504331656 |
| Mailing Fax Number | 8504331996 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | KEVIN N GROOM (DIRECTOR) |
| Authorized Official Telephone | 8504336760 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Anchor Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7552 Navarre Pkwy Unit 54, Navarre, FL 325667305 | 8503966199 | 8504331996 |
| 850 S Palafox St Unit 103, Pensacola, FL 325025983 | 8504331656 | 8504331996 |
| 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 8504331656 | 8504331996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013367549 | The Anchor Clinic, LLC | Registered Nurse | 7552 Navarre Pkwy Unit 54, Navarre, FL 32566-7305 | 2016-06-15 |
| 1982994281 | The Anchor Clinic, LLC | Physical Therapist | 890 S Palafox St, Suite 300, Pensacola, FL 32502-5904 | 2011-04-08 |
| Street Address |
890 SOUTH PALAFOX STREET SUITE 300 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538269121 | Cris William Jagar | Psychiatry & Neurology | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-09-23 |
| 1720172778 | Robert J Rotunda | Psychologist | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-03 |
| 1972696839 | Pashia D Groom | Psychologist | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-02 |
| 1184717027 | Kevin N Groom | Clinical Neuropsychologist | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-02 |
| 1023101821 | Shannon S Wright-johnson | Psychologist | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
| 1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
| 1639579568 | Community Experiences LLC | Home Health | 321 N Devillers St Suite 221, Pensacola, FL 32502 | 2014-08-28 |
| 1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
| 1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
| 1356538771 | Optum Infusion Services 204, Inc. | Pharmacy | 201 N. Tarragona Street, Pensacola, FL 32502 | 2007-09-30 |
| Find all providers in zip 32502 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821182841 | David Dean | Psychologist | Deployment Health - Naval Hospital Pensacola, 6000 West Highway 98, Pensacola, FL 32512 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019935 | Michelle Johnson | Psychologist | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-24 |
| 1538785837 | Change The Narrative Counseling LLC | Psychologist | 20417 Berrywood Ln, Tampa, FL 33647-3476 | 2020-06-23 |
| 1689210791 | Alexis Vaughn | Psychologist | 203 Ne Montana St, Lake City, FL 32055-2183 | 2019-11-24 |
| 1316581101 | Melissa Singleton | Psychologist | 4728 Lexington Ave, Jacksonville, FL 32210-3218 | 2019-11-05 |
| 1407408123 | R Ramos Inc. | Psychologist | 2285 St R 580, S-210, Clearwater, FL 33763-1111 | 2019-07-12 |
| 1215599766 | Stephanie Rita Mcdonough | Psychologist | 1600 Sw Archer Rd Fl Roomg901, Gainesville, FL 32610-3003 | 2019-07-05 |
| 1013573039 | Antionette Jarshawn Miller-maultsby | Psychologist | 4401 Will Scarlet Rd, Jacksonville, FL 32208-1154 | 2019-05-15 |
| 1376002063 | Lakeyta Nacole Givens | Psychologist | 514 Joan St, Macclenny, FL 32063-2618 | 2019-03-13 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1295280428 | Psych Aid Corp | Psychologist | 1300 Nw 84th Ave, Doral, FL 33126-1500 | 2016-08-17 |
| 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.