DR. THOMAS WILLIAM CLYBURN III PH.D.
NPI 1285879361
Counselor - Mental Health in Bradenton, FL

Q: What is Thomas Clyburn's NPI number?

The NPI number for Thomas Clyburn is 1285879361. It was assigned to this individual provider in the NPPES registry on December 3, 2008.

Q: What is Thomas Clyburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Clyburn was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 03, 2008PECOS EnrolledAccepts Medicare Assignment

318 OLD MAIN ST, SUITE 21, BRADENTON, FL 34205(941) 224-3800(941) 745-1630 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Thomas William Clyburn Iii Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS WILLIAM CLYBURN III PH.D. (NPI 1285879361) is an individual mental health provider in Bradenton, Florida, licensed in Florida (MH7314) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sarasota, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1285879361

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameDR. THOMAS WILLIAM CLYBURN IIICredential: PH.D.

Location Address318 OLD MAIN ST, SUITE 21Bradenton, FL 34205-7819

Mailing Address4501 Manatee Ave W # 209Bradenton, FL 34209-3952 · (941) 224-3800 · Fax (941) 745-1630

Phone(941) 224-3800

Fax(941) 745-1630

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateDecember 3, 2008

Last NPPES UpdateApril 20, 2026

NPPES CertifiedApril 20, 2026

✔ NPI 1285879361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH7314

318 OLD MAIN ST, Bradenton, FL 34205

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Secondary Practice Location 1

Location 12033 Wood St Ste 220Sarasota, FL 34237-7927 · Phone (941) 677-3366 · Fax (941) 677-3367

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas William Clyburn Iii Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537600101

PECOS Enrollment IDI20240923002708

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Clyburn's NPI number?

The NPI number for Thomas Clyburn is 1285879361. It was assigned to this individual provider in the NPPES registry on December 3, 2008.

Where is Thomas Clyburn located?

Thomas Clyburn practices at 318 Old Main St Suite 21, Bradenton, FL 34205. The listed phone number is (941) 224-3800.

What is Thomas Clyburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Thomas Clyburn enrolled in Medicare?

Yes. Thomas Clyburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Clyburn accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Thomas Clyburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Clyburn was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.