Clear Mental Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CLEAR MENTAL HEALTH LLC

Practice address

2603 Bridgeport Way W Ste F
University Place, WA 98466-4724

Phone

(253) 666-6780

Fax

(253) 666-6793

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ajainder Shergill, DO

Title

Owner

Phone

(360) 334-1882

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1851926992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 CROW CANYON RD STE S360",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 BRIDGEPORT WAY W STE F",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664724",
            "telephone_number": "253-666-6780",
            "fax_number": "253-666-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "SHERGILL",
        "authorized_official_first_name": "AJAINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-334-1882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agathareza N. Chua, LMP
• Shadrack Kiplagat Chumba
• Marilou Church, RN
• Jessica Clark
• Kacia Clark
• Robert W Clifford, D.D.S.
• Elizabeth Clinton, LMP
• Ellen Coady, LMHC, NCC
• Brandon Coberly, MSW LICSW
• Christine Cofer, MD

• Psychiatry Physician in University Place, WA
• Providers in University Place, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.