NPIMap

Organization Active NPI

Clear Shores, Inc

Doing business as Compassion Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Hollywood, FL
National Provider Identifier
1639836257
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
CLEAR SHORES, INC
Doing business as
Compassion Behavioral Health
Practice address
1701 Mayo St
Hollywood, FL 33020-6542
Phone
(954) 505-2200
NPI assigned
Nov 18, 2021
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Ryan Needle
Title
Ceo
Phone
(954) 505-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

1701 Mayo St
Hollywood, FL 33020-6542

Mailing address

1 Oakwood Blvd Ste 265
Hollywood, FL 33020-1954
Phone (954) 505-2200

Other names 1

  • Compassion Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clear Shores Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1639836257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD BLVD STE 265",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201954",
            "telephone_number": "954-505-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MAYO ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206542",
            "telephone_number": "954-505-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SHORES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "NEEDLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-505-2200"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassion Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.