Individual provider Active NPI

Carmen Thomas-Comeaux, PHD

  • Clinical Psychologist
  • Pinellas Park, FL
National Provider Identifier
1720329287
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7925 Issued in FL
Practice address
9365 US Highway 19 N
Suite A1
Pinellas Park, FL 33782-5400
Phone
(727) 504-5989
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7925 FL Primary

Addresses

Primary practice location

9365 US Highway 19 N
Suite A1
Pinellas Park, FL 33782-5400

Mailing address

2 Cherokee CT
Madeira Beach, FL 33708-4014
Phone (727) 504-5989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY7925FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1720329287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHEROKEE CT",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337084014",
            "telephone_number": "727-504-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9365 US HIGHWAY 19 N",
            "address_2": "SUITE A1",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825400",
            "telephone_number": "727-504-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-COMEAUX",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.