Clinical Psychology Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CLINICAL PSYCHOLOGY SERVICES, LLC

Practice address

2810 E Cervantes St
Pensacola, FL 32503-6336

Phone

(850) 319-9102

NPI assigned

Dec 3, 2020

Last updated

Apr 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tatiana Grant, PSYDNPI 1134771629

Title

Psychology

Phone

(850) 319-9102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NY2 enrollments

Enrollment records 2

Locations

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.

• Tatiana Grant, PSY.D

  • Clinical Psychologist
  • Pensacola, FL
  • NPI 1134771629

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1437754876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 E CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036336",
            "telephone_number": "850-319-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 E CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036336",
            "telephone_number": "850-319-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PSYCHOLOGY",
        "authorized_official_telephone_number": "850-319-9102",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Carey Cleveland, PHARMD
• Tracy Lynn Cleveland, MPH RD LD NBCHWC
• Royce Ellen Clifford, MD
• Charlean M. Clifton, R.N.
• Clinical Psychology Associates, P.a.
• Daniel P Cloutier, BS
• Roger C Clubbs, MD
• CMS Pensacola
• Coastal Cosmetic Family Dentistry
• Coastal Craniofacial, LLC

• Clinical Psychologist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.