Coastal Treatment Center, Clearwater LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

COASTAL TREATMENT CENTER, CLEARWATER LLC

Practice address

2120 Range Rd
Clearwater, FL 33765

Phone

(727) 205-7077

NPI assigned

Aug 8, 2018

Organization subpart

No

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

Authorized official

Name

Christopher Wright Fox

Title

President

Phone

(310) 547-7501

Specialties & licenses 2

Addresses

Other names 1

• The Wave of Clearwater Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1992284285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 RANGE RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 RANGE RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "727-205-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL TREATMENT CENTER, CLEARWATER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-547-7501"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wave of Clearwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Eye Care Inc
• Coastal Hearing, Inc
• Coastal Home Care, Inc.
• Coastal Jaw Surgery of New Port Richey, P.a.
• Coastal Neuropsychology, LLC
• Coastal Treatment Centers, Largo
• Donald Bruce Cochran, OD OPTOMETRY DOCTOR
• John Barry Cochran
• John Michael Cochran, MD
• Jodianne C Coffee, PA-C

• Mental Illness Community Based Residential Treatment Facility in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.