Clearwater Emdr LLC
NPI 1417619446 · Mental Health Clinic/Center (Including Community Mental Health Center) · Clearwater, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clearwater Emdr LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Clearwater, FL (NPI 1417619446).
Provider details
- NPI number
- 1417619446
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marie Vagedes, Owner(727) 316-5740
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-07
- Last updated
- 2021-10-07
- Certified
- 2021-10-07
Frequently asked questions
- What is Clearwater Emdr LLC's NPI number?
- Clearwater Emdr LLC's National Provider Identifier (NPI) is 1417619446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clearwater Emdr LLC?
- Clearwater Emdr LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Clearwater Emdr LLC located?
- Clearwater Emdr LLC's practice location on file with NPPES is 2430 Estancia Blvd Ste 100a, Clearwater, FL 33761-2644.
- What is Clearwater Emdr LLC's phone number?
- The practice phone number listed in the NPPES registry for Clearwater Emdr LLC is (727) 316-5740.
- Does Clearwater Emdr LLC accept Medicare?
- Clearwater Emdr LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clearwater Emdr LLC?
- The authorized official listed on Clearwater Emdr LLC's NPPES record is Marie Vagedes, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clearwater Emdr LLC's NPI active?
- Yes — Clearwater Emdr LLC's NPI (1417619446) is active in the NPPES registry as of the last update on 2021-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.