NPIMap

Organization Active NPI

The Anchor Clinic, LLC

  • Psychiatric/Mental Health Registered Nurse
  • Navarre, FL
National Provider Identifier
1013367549
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
ARNP9337357 Issued in FL
Legal business name
THE ANCHOR CLINIC, LLC
Practice address
7552 Navarre Pkwy Unit 61
Navarre, FL 32566-7305
Phone
(850) 684-3884
Fax
(850) 433-1996
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin Neil Groom, PHD
Title
Ceo/Owner
Phone
(850) 433-1656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WP0808X ARNP9337357 FL Primary

Addresses

Primary practice location

7552 Navarre Pkwy Unit 61
Navarre, FL 32566-7305

Mailing address

890 S Palafox St
Suite 300
Pensacola, FL 32502-5904
Phone (850) 433-1656

National Provider Directory

National Provider Directory
Tax ID family
The Anchor Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7552 Navarre Pkwy
Unit 43
Navarre, FL 32566
Phone (850) 433-1656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1013367549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 S PALAFOX ST",
            "address_2": "SUITE 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025904",
            "telephone_number": "850-433-1656",
            "fax_number": "850-433-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY UNIT 61",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667305",
            "telephone_number": "850-684-3884",
            "fax_number": "850-433-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANCHOR CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "GROOM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "850-433-1656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9337357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.