Comprehensive Mental Health Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH0007314 Issued in FL

Legal business name

COMPREHENSIVE MENTAL HEALTH SOLUTIONS

Practice address

318 Old Main St # 23
Bradenton, FL 34205-7819

Phone

(941) 224-3800

Fax

(941) 729-7544

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas William Clyburn III, PH.D.NPI 1285879361

Title

Sole Proprietor

Phone

(941) 224-3800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas William Clyburn III, PH.D.

  • Mental Health Counselor
  • Bradenton, FL
  • NPI 1285879361
  NPD (past) Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1801084306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MANATEE AVE W # 209",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093952",
            "telephone_number": "941-224-3800",
            "fax_number": "941-729-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 OLD MAIN ST # 23",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057819",
            "telephone_number": "941-224-3800",
            "fax_number": "941-729-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MENTAL HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "CLYBURN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "941-224-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH0007314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.