Paul R Clements PH D Arnp PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PAUL R CLEMENTS PH D ARNP PLLC

Doing business as

Belleair Behavioral Medicine

Practice address

2605 Gulf Blvd
Belleair Beach, FL 33786-3500

Phone

(727) 641-5507

Fax

(866) 533-1384

NPI assigned

May 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Paul Reeve Clemetns, PHD, APRN

Title

President

Phone

(727) 641-5507

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Belleair Behavioral Medicine Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Paul R Clements, PHD, ARNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Belleair Beach, FL
  • NPI 1053402974
  Medicare reassignment
• George A Jacinto

  • Clinical Social Worker
  • Belleair Beach, FL
  • NPI 1144621905
  NPD (past)

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1043876527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 GULF BLVD",
            "city": "BELLEAIR BEACH",
            "state": "FL",
            "postal_code": "337863500",
            "telephone_number": "727-641-5507",
            "fax_number": "866-533-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 GULF BLVD",
            "city": "BELLEAIR BEACH",
            "state": "FL",
            "postal_code": "337863500",
            "telephone_number": "727-641-5507",
            "fax_number": "866-533-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R CLEMENTS PH D ARNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "CLEMETNS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "REEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-641-5507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "APRN9231546",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana-pmb@tampabay.rr.com",
            "affiliation": "N",
            "endpointDescription": "credentialing",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Clearwater",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clearwater",
            "address_1": "2605 Gulf Blvd",
            "city": "Belleair Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337863500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Belleair Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Belleair Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George a Jacinto, PHD, LCSW, PLLC
• George A Jacinto
• Wael A Labib, PT
• Long Term Care Advocates
• Erin Nicole Morrison, RDN
• George Thommi, M.D.
• Ana Vangelena
• Austin Ali Vangelena, MD
• Debbie Workman, RPH

• Psychiatric/Mental Health Nurse Practitioner in Belleair Beach, FL
• Providers in Belleair Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.