Stillwater Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STILLWATER THERAPY, LLC

Practice address

2430 Estancia Blvd Ste 106
Clearwater, FL 33761-2607

Phone

(813) 803-0961

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth Elllen HolmbergNPI 1497342786

Title

Owner

Phone

(813) 803-0961

Specialties & licenses 1

Addresses

Practitioners 3

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

• Elizabeth Ellen Holmberg

  • Clinical Social Worker
  • Clearwater, FL
  • NPI 1497342786
  NPD Authorized official
• Nevedha White

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1609447218
  NPD (past)
• Eva-Mae Emmerich, MA

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1912404443
  NPD (past)

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1306689963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 ESTANCIA BLVD STE 106",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612607",
            "telephone_number": "813-803-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 ESTANCIA BLVD STE 106",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612607",
            "telephone_number": "813-803-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "HOLMBERG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ELLLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-803-0961"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott R Stewart, M.D.
• Tara Marie Stewart, LMHC
• Valerie Stewart
• Sam Stieglitz, M.D.
• Avery Stiglitz, M.D.
• Gary Charles Stivali
• Stmedicalnursingservices
• Judith Stoeckicht, LPN
• Melanie Stokes
• Alexis Marie Stone, BT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.