Organization Active NPI

Geri Care Mental Health LLC

  • Psychiatry Physician
  • Clearwater, FL
National Provider Identifier
1972967420
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME121294 Issued in FL
Legal business name
GERI CARE MENTAL HEALTH LLC
Practice address
1760 Clearwater Largo Rd
Suite 7101
Clearwater, FL 33756-3154
Phone
(423) 727-5917
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Jaclyn Newman, MD
Title
Owner
Phone
(423) 727-5917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME121294 FL Primary

Addresses

Primary practice location

1760 Clearwater Largo Rd
Suite 7101
Clearwater, FL 33756-3154

Mailing address

1760 Clearwater Largo Rd
Suite 7101
Clearwater, FL 33756-3154
Phone (423) 727-5917

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1972967420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 CLEARWATER LARGO RD",
            "address_2": "SUITE 7101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563154",
            "telephone_number": "423-727-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CLEARWATER LARGO RD",
            "address_2": "SUITE 7101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563154",
            "telephone_number": "423-727-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERI CARE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-727-5917",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME121294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.