Organization Active NPI

Michel Jean Gimeno

  • Psychiatry Physician
  • Clearwater, FL
National Provider Identifier
1639262157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME34955 Issued in FL
Legal business name
MICHEL JEAN GIMENO
Practice address
2531 Landmark Dr
Ste 207
Clearwater, FL 33761
Phone
(727) 799-3350
Fax
(727) 725-5548
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michel Gimeno, MD
Title
Owner
Phone
(727) 799-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME34955 FL Primary

Addresses

Primary practice location

2531 Landmark Dr
Ste 207
Clearwater, FL 33761

Mailing address

2531 Landmark Dr
Ste 207
Clearwater, FL 33761
Phone (727) 799-3350

Other names 1

  • Stress and Phobia Center Doing business as

National Provider Directory

National Provider Directory

Locations

2531 Landmark Dr
Ste 207
Clearwater, FL 33761
Phone (727) 509-3760

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639262157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 LANDMARK DR",
            "address_2": "STE 207",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-799-3350",
            "fax_number": "727-725-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 LANDMARK DR",
            "address_2": "STE 207",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-799-3350",
            "fax_number": "727-725-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL JEAN GIMENO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIMENO",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-799-3350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME34955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stress and Phobia Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.