SQUARE 1 CLINICS, INC (NPI# 1184258832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184258832 |
| Entity Type | Organization |
| Organization Name | SQUARE 1 CLINICS, INC |
| Practice Address |
1212 Court St Clearwater FL 33756-5004 |
| Practice Telephone | 7273517239 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | NATHAN MAINGI (CEO) |
| Authorized Official Telephone | 7275995762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1062121-00 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1022 Nebraska Ave, Palm Harbor, FL 346834353 | 7272951000 |
| Street Address |
1212 COURT ST |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912271586 | Clearwater Free Clinic, Inc. | Clinic/Center | 707 N Fort Harrison Ave, Clearwater, FL 33755-3823 | 2012-02-29 |
| 1134122377 | Directions for Mental Health Inc | Clinic/Center | 1437 S. Belcher Road, Directions for Mental Health, Inc., Clearwater, FL 33764-2829 | 2005-05-23 |
| 1518082619 | Directions for Mental Health, Inc. | Clinic/Center | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932851 | Florida State Nurse Registry | Clinic/Center | 290 Citrus Tower Blvd Ste 229, Clermont, FL 34711-2786 | 2020-11-02 |
| 1770181638 | Wise Future Group Support Services, LLC | Clinic/Center | 2307 Greenwillow Dr, Orlando, FL 32825-7572 | 2020-10-13 |
| 1467068817 | Health Coach Direct Primary Care Practice Pllc | Clinic/Center | 12300 Alternate A1a Ste 106, Palm Beach Gardens, FL 33410-2206 | 2020-09-21 |
| 1275166431 | Hope Community Mental Health Corp | Clinic/Center | 4801 Nw 7th St Apt 208, Miami, FL 33126-2142 | 2020-02-17 |
| 1598303208 | Harmony Healthcare Orlando Inc | Clinic/Center | 1400 S Orlando Ave Ste 204, Winter Park, FL 32789-5543 | 2019-12-12 |
| 1437705357 | True Care, Inc | Clinic/Center | 20451 S Tamiami Trl Ste 1, Estero, FL 33928-8101 | 2019-08-15 |
| 1689228884 | Greater Harvest Community Outreach Life Center | Clinic/Center | 4888 Nw 183rd St Ste 215, Miami Gardens, FL 33055-2943 | 2019-07-26 |
| 1730747163 | Advanced Community Mental Health Inc | Clinic/Center | 11093 Nw 138th St Unit 210, Hialeah Gardens, FL 33018-1192 | 2019-05-31 |
| 1578120440 | Impact Lives Consulting Group LLC | Clinic/Center | 11613 Sw 216th St, Miami, FL 33170-2933 | 2019-05-24 |
| 1609439140 | Behavioral Health & Wellness of South Florida | Clinic/Center | 11285 Sw 211th St # 202, Miami, FL 33189-2211 | 2019-04-19 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on SQUARE 1 CLINICS, INC.
| 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.