Organization Active NPI

Clear Life Psychiatry

  • Psychiatry Physician
  • Fort Lauderdale, FL
National Provider Identifier
1356248249
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CLEAR LIFE PSYCHIATRY
Practice address
5800 Lakeshore Dr Apt 111
Fort Lauderdale, FL 33312-6499
Phone
(718) 813-2404
NPI assigned
Oct 22, 2026
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Mr. Martin Witriol
Title
Ceo
Phone
(718) 813-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5800 Lakeshore Dr Apt 111
Fort Lauderdale, FL 33312-6499

Mailing address

5800 Lakeshore Dr Apt 111
Fort Lauderdale, FL 33312-6499
Phone (718) 813-2404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1356248249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 LAKESHORE DR APT 111",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126499",
            "telephone_number": "718-813-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 LAKESHORE DR APT 111",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126499",
            "telephone_number": "718-813-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LIFE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "WITRIOL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-813-2404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.