Organization Active NPI

Warren Psychiatric Services PA

  • Adult Mental Health Clinic/Center
  • Clearwater, FL
National Provider Identifier
1083784318
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WARREN PSYCHIATRIC SERVICES PA
Practice address
516 Lakeview Road
Villa 9
Clearwater, FL 33756-3302
Phone
(727) 298-8338
Fax
(727) 298-0381
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carol K Miller, LCSWNPI 1962691907
Title
Secretary for PA
Phone
(727) 298-8338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

516 Lakeview Road
Villa 9
Clearwater, FL 33756-3302

Mailing address

516 Lakeview Road
Villa 9
Clearwater, FL 33756-3302
Phone (727) 298-8338

Other identifiers 2

IdentifierTypeStateIssuer
52778ZOtherBC/BS
Z5740ZOtherBLUE CROSS/BLUE SHIELD

Other names 1

  • George L Warren MD Carol K Miller LCSW Former legal business name

National Provider Directory

National Provider Directory

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083784318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LAKEVIEW ROAD",
            "address_2": "VILLA 9",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563302",
            "telephone_number": "727-298-8338",
            "fax_number": "727-298-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LAKEVIEW ROAD",
            "address_2": "VILLA 9",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563302",
            "telephone_number": "727-298-8338",
            "fax_number": "727-298-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN PSYCHIATRIC SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SECRETARY FOR PA",
        "authorized_official_telephone_number": "727-298-8338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "52778Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Z5740Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George L Warren MD Carol K Miller LCSW",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.