Individual provider Active NPI

Nora Jane Griffin-Clark, PHD

  • Clinical Psychologist
  • Saint Joseph, MO
National Provider Identifier
1023045457
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PYR0231 Issued in MO
Practice address
901 Heartland Rd
Suite 3800
Saint Joseph, MO 64506-6200
Phone
(816) 671-4837
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PYR0231 MO Primary

Addresses

Primary practice location

901 Heartland Rd
Suite 3800
Saint Joseph, MO 64506-6200

Mailing address

901 Heartland Rd Ste 3800
Saint Joseph, MO 64506-6201
Phone (816) 671-4812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PYR0231MOMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1023045457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD STE 3800",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066201",
            "telephone_number": "816-671-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD",
            "address_2": "SUITE 3800",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066200",
            "telephone_number": "816-671-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN-CLARK",
        "first_name": "NORA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PYR0231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.