Square 1 Clinics, Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SQUARE 1 CLINICS, INC

Practice address

1212 Court St
Clearwater, FL 33756-5004

Phone

(727) 351-7239

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Lambert Wayne Leroux

Title

Chairman

Phone

(727) 480-4981

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Square 1 Clinics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Square 1 Clinics, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palm Harbor, FL
  • NPI 1033781000
  NPD tax ID

Locations

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1184258832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 COURT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 COURT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565004",
            "telephone_number": "727-351-7239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 Nebraska Ave",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346834353",
            "country_code": "US",
            "telephone_number": "727-295-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SQUARE 1 CLINICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "LEROUX",
        "authorized_official_first_name": "LAMBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "727-480-4981",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062121-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Jon Spriggs, MD
• Stacey R Sproull, ARNP
• Andrea Spurr, D.D.S.
• Square 1 Addiction Programs
• Square 1 Addiction Programs
• Jonathan C. Squires, M. D.
• Sra Ventures Inc
• Pattanam Dorai Srinivasan, M.D.
• Radhika Sriram, M.D.
• SS Pinellas V Community HC LLC

• Community Health Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.