Individual provider Active NPI

Karmon D Sears, PSY.D.

  • Clinical Psychologist
  • Sarasota, FL
National Provider Identifier
1417024290
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1089 Issued in NH
Practice address
5317 Fruitville Rd
Unit #167
Sarasota, FL 34232-6402
Phone
(941) 929-3232
NPI assigned
Nov 29, 2006
Last updated
Nov 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1089 NH
Clinical Psychologist 103TC0700X 1089 NH Primary

Addresses

Primary practice location

5317 Fruitville Rd
Unit #167
Sarasota, FL 34232-6402

Mailing address

5317 Fruitville Rd
Unit #167
Sarasota, FL 34232-6402
Phone (941) 929-3232

Other identifiers 2

IdentifierTypeStateIssuer
2143889OtherNHCIGNA BEHAVIORAL HEALTH #
06Y010125NH01OtherNHBHN PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000781 FL Practitioner - Clinical Psychologist 3072521400 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bradenton Best Life Counseling Center LLCGroup PAC ID 6608273297, 2 clinicians

Practice addresses (Care Compare)

9040 Town Ctr Pkwy
Lakewood Ranch, FL 34202-4101
Phone (941) 867-0697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1089NHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Jun 16, 2014 Accepting new patients
Bradenton Counseling Center, Inc. CurrentSince Feb 20, 2016 Accepting new patients
MCR Health, Inc. CurrentSince Jun 16, 2014 Accepting new patients
Bradenton Best Life Counseling Center LLC Clinical CurrentSince Jan 19, 2021 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

5131 Manatee Ave W
Bradenton, FL 34209
Phone (941) 792-0802

9040 Town Center Pkwy
Lakewood Ranch, FL 34202
Phone (941) 444-2019

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1417024290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 FRUITVILLE RD",
            "address_2": "UNIT #167",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326402",
            "telephone_number": "941-929-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 FRUITVILLE RD",
            "address_2": "UNIT #167",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326402",
            "telephone_number": "941-929-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "KARMON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NH",
            "license": "1089",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH #",
            "identifier": "2143889",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHN PROVIDER #",
            "identifier": "06Y010125NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.