Organization Active NPI

Clarity Center for Behavioral Health and Wellness

  • Clinical Psychologist
  • Valrico, FL
National Provider Identifier
1174195630
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLARITY CENTER FOR BEHAVIORAL HEALTH AND WELLNESS
Practice address
2406 E State Road 60 # 1954
Valrico, FL 33594-3707
Phone
(336) 257-1332
NPI assigned
Jul 14, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Dr. Candice Christine Johnson, PSYD
Title
Co-Owner, Psychologist
Phone
(336) 257-1332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

2406 E State Road 60 # 1954
Valrico, FL 33594-3707

Mailing address

PO Box 1954
Valrico, FL 33595-1954
Phone (336) 257-1332

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1174195630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1954",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335951954",
            "telephone_number": "336-257-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 E STATE ROAD 60 # 1954",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943707",
            "telephone_number": "336-257-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY CENTER FOR BEHAVIORAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CO-OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "336-257-1332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.