THE WAVE OF CLEARWATER
NPI 1992284285
Community Based Residential Treatment Facility, Mental Illness in Clearwater, FL

Q: What is Coastal Treatment Center, Clearwater LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since August 08, 2018CLIA 10D2107318 · Waiver

2120 RANGE RD, CLEARWATER, FL 33765(727) 205-7077 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2019, Jun 3, 2019, Aug 9, 2018 (3 updates tracked since 2018).

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About The Wave Of Clearwater NPPES

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

THE WAVE OF CLEARWATER (NPI 1992284285) is a healthcare organization registered as a community based residential treatment facility, mental illness in Clearwater, Florida and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Christopher Wright Fox, President, as its authorized official.

NPPES Registry Identity

NPI1992284285

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameCOASTAL TREATMENT CENTER, CLEARWATER LLC

Location Address2120 RANGE RDClearwater, FL 33765

Mailing Address2120 Range RdClearwater, FL 33765-2125

Phone(727) 205-7077

Organization SubpartNo

Authorized OfficialChristopher Wright FoxPresident · (310) 547-7501

Enumeration DateAugust 8, 2018

Last NPPES UpdateJune 13, 20193 updates tracked since enumeration

✔ NPI 1992284285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

2120 RANGE RD, Clearwater, FL 33765

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Other Names 1

Doing Business AsThe Wave Of Clearwater

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2107318

The Wave Of Clearwater · Clearwater, FL

Active · expires Jan 11, 2028

CLIA Number10D2107318

Laboratory TypeResidential Treatment Fac

Certificate Effective DateJanuary 12, 2026

Certificate Expiration DateJanuary 11, 2028

Laboratory DirectorHassan A. Bokhari

Laboratory Phone(727) 205-7077

Laboratory LocationThe Wave Of Clearwater2120 Range Rd, Clearwater, FL 33765

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMPOWER, LLC

Community/Behavioral Health