Clearmindforall, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CLEARMINDFORALL, INC

Practice address

600 Cleveland St Ste 240
Clearwater, FL 33755-4151

Phone

(917) 202-9422

NPI assigned

Oct 23, 2024

Last updated

Oct 23, 2024By 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

Dr. Kenneth Ethan Lai, MDNPI 1376893974

Title

Psychiatrist

Phone

(917) 202-9422

Specialties & licenses 1

Addresses

Other names 1

• Mental Health Services MDPA Former legal business name

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.

• Kenneth Ethan Lai, M.D.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1376893974

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1437970381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 CONROY WINDERMERE RD STE 628",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353129",
            "telephone_number": "407-779-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CLEVELAND ST STE 240",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554151",
            "telephone_number": "917-202-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12555 Orange Dr Ste 4229A",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333304304",
            "country_code": "US",
            "telephone_number": "407-779-8808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEARMINDFORALL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ETHAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "917-202-9422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Services MDPA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatry Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.