Clementine Fairfax – Psychiatric Residential Treatment Facility, NPI 1689269250

Clementine Fairfax is a healthcare provider. based in South miami, Florida. specializing in Psychiatric Residential Treatment Facility. The NPI Number for Clementine Fairfax is 1689269250

Main info

Organization
Name
Clementine Fairfax
NPI
1689269250
Phone
(305) 663-1876
Address
6100 SW 76TH ST
Authorized Official
MR. MIKE BAGLEY CHIEF FINANCIAL OFFICER
Enumeration Date
5 March 2021
Last Update Date
16 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness90
Years active:5State licenses:0Digital endpoints

Provider Addresses for Clementine Fairfax

  • 6100 SW 76TH ST

    SOUTH MIAMI, FL 331435002

    Phone: (305) 663-1876

    Type: Mailing

  • 11329 HENDERSON RD

    FAIRFAX STATION, VA 220392314

    Phone: (305) 663-1876

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33143)

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Reviews

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Frequently asked questions

Does Clementine Fairfax have a public NPI I can cite?
Public records show Clementine Fairfax under NPI 1689269250.
Is Clementine Fairfax currently accepting referrals based on NPI status?
Registry metadata lists Clementine Fairfax as active.
What services align with Clementine Fairfax's listing?
Clementine Fairfax's public classification highlights Psychiatric Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Is Clementine Fairfax tied to South Miami, Florida?
If you are local to South Miami, Florida, Clementine Fairfax may be relevant to your search.
Who maintains Clementine Fairfax's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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