Clearman Integrated Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CLEARMAN INTEGRATED PSYCHIATRIC SERVICES LLC

Practice address

3410 North Hills Street
Ste B-2
Meridian, MS 39305-2560

Phone

(601) 480-4946

Fax

(601) 621-4030

NPI assigned

Jul 26, 2024

Last updated

Jul 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tina D Clearman, PMHNPNPI 1700142403

Title

Owner/Provider

Phone

(601) 480-4946

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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.

• Tina D. Clearman, APMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, MS
  • NPI 1700142403
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1891523189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8191",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393038191",
            "telephone_number": "601-480-4946",
            "fax_number": "601-621-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 NORTH HILLS STREET",
            "address_2": "STE B-2",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052560",
            "telephone_number": "601-480-4946",
            "fax_number": "601-621-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 Saddlebrook Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393059125",
            "country_code": "US",
            "telephone_number": "601-480-4946",
            "fax_number": "601-621-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEARMAN INTEGRATED PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "CLEARMAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "601-480-4946",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comanechi Clayton, PMHNP-BC
• Danielle Clayton, PHARMD
• Takymmea Clayton, PHD, LP
• Tara Clayton
• CLC of Meridian, LLC (Meridian Community Living Center)
• Tina D. Clearman, APMHNP-BC
• Tori Clearman
• Cassandra Leigh Clements Matney, O.D.
• Greggory Patrick Cloutier, A.T.,C.
• Chasity Michelle Cockerham, FNP-C

• Psychiatric/Mental Health Nurse Practitioner in Meridian, MS
• Providers in Meridian, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.