Organization Active NPI

Clements & Associates, Inc.

  • Psychologist
  • Lake Mary, FL
National Provider Identifier
1922188473
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CLEMENTS & ASSOCIATES, INC.
Practice address
2500 W Lake Mary Blvd
Ste 111
Lake Mary, FL 32746-3501
Phone
(407) 804-8975
Fax
(407) 650-3152
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Mr. Rosimeri Clements, PSY.D.NPI 1043281967
Title
Psychologist
Phone
(407) 804-8975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2500 W Lake Mary Blvd
Ste 111
Lake Mary, FL 32746-3501

Mailing address

2500 W Lake Mary Blvd
Ste 111
Lake Mary, FL 32746-3501
Phone (407) 804-8975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100215000211 FL Part B Supplier - Clinic/Group Practice 2567506579 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Mary, FL; West Palm Beach, FL; Orlando, FL

National Provider Directory

National Provider Directory

Locations

8359 Beacon Blvd
Ste 116
Fort Myers, FL 33907
Phone (800) 818-1351

2500 W Lake Mary Blvd
Ste 111
Lake Mary, FL 32746
Phone (407) 804-8975

7600 Southland Blvd
Ste 100
Orlando, FL 32809
Phone (407) 804-8975

6936 W Linebaugh Ave
Ste 102
Tampa, FL 33625
Phone (800) 818-1351

2001 Palm Beach Lakes Blvd
Ste 302
West Palm Beach, FL 33409
Phone (800) 818-1351

801 Northpoint Pkwy
Ste 42
West Palm Beach, FL 33407
Phone (407) 804-8975

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1922188473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAKE MARY BLVD",
            "address_2": "STE 111",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463501",
            "telephone_number": "407-804-8975",
            "fax_number": "407-650-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAKE MARY BLVD",
            "address_2": "STE 111",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463501",
            "telephone_number": "407-804-8975",
            "fax_number": "407-650-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTS & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "ROSIMERI",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-804-8975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.