Clinton Paul Pina III

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

322D00000X Issued in MA

Practice address

503 Rockdale Ave
New Bedford, MA 02740-1460

Phone

(508) 951-6732

NPI assigned

Mar 28, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1649546300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 ROCKDALE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401460",
            "telephone_number": "508-951-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 ROCKDALE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401460",
            "telephone_number": "508-951-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINA",
        "first_name": "CLINTON",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "322D00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Pimentel
• Skyla A Pimentel
• Vinicius C Pimentel, PHARMD
• Monalisa Pina Gomes
• Celina Pina, PSY.D.
• Cory Pina
• Shawn Pina
• Pine Grove Chiropractic, P.C.
• Michelle Denisse Pineiro
• Robin Pinto

• Emotionally Disturbed Childrens' Residential Treatment Facility in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.