Organization Active NPI

Innerclarity LLC

  • Psychiatry Physician
  • Bloomsburg, PA
National Provider Identifier
1952265274
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INNERCLARITY LLC
Practice address
1005 Scott Town Ctr # 1004
Bloomsburg, PA 17815-2356
Phone
(570) 204-5110
Fax
(272) 249-2494
NPI assigned
Dec 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Thomas IacovoniNPI 1225262215
Title
Owner
Phone
(570) 204-5110

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1005 Scott Town Ctr # 1004
Bloomsburg, PA 17815-2356

Mailing address

1005 Scott Town Ctr # 1004
Bloomsburg, PA 17815-2356
Phone (570) 204-5110

Other practice location 1

325 S Eaton St
Berwick, PA 18603-4232
Phone (570) 204-5110

National Provider Directory

National Provider Directory

Locations

325 S Eaton St
Berwick, PA 18603
Phone (570) 204-5110

Practitioners & affiliated clinicians

Practitioners 1

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": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1952265274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SCOTT TOWN CTR # 1004",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152356",
            "telephone_number": "570-204-5110",
            "fax_number": "272-249-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SCOTT TOWN CTR # 1004",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152356",
            "telephone_number": "570-204-5110",
            "fax_number": "272-249-2494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 S Eaton St",
            "address_purpose": "LOCATION",
            "city": "Berwick",
            "state": "PA",
            "postal_code": "186034232",
            "country_code": "US",
            "telephone_number": "570-204-5110",
            "fax_number": "272-249-2494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNERCLARITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "IACOVONI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-204-5110"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.