Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thomas William Clyburn III, PHD

Individual provider Mental Health Counselor · NPI 1285879361

Dr. Thomas William Clyburn III, PHD is a Mental Health Counselor in Bradenton, Florida. Qualified in 2001, 25 years ago. Practices with Center of Revitalizing Psychiatry, PC, a 37-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

318 Old Main St Ste 21
Bradenton, FL 34205-7819
Phone: (941) 224-3800
Fax: (941) 745-1630
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2033 Wood St Ste 220, Sarasota, FL 34237-7927 — (941) 677-3366

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH7314 (FL)

Record details

NPI number1285879361
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 3, 2008
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Center Of Revitalizing Psychiatry, P.C. — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bradenton