NPIMap

Organization Active NPI

Psychotherapy/ Clinical Services LLC

  • Clinic/Center
  • Huntsville, AL
National Provider Identifier
1033736749
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PSYCHOTHERAPY/ CLINICAL SERVICES LLC
Practice address
2622 Jordan LN NW
Huntsville, AL 35816-1014
Phone
(256) 509-3465
NPI assigned
Jun 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Esophia Clayborn, LICSW-PIPNPI 1376762369
Title
Psychotherapist/Clinician/Sole Prop
Phone
(256) 509-3465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2622 Jordan LN NW
Huntsville, AL 35816-1014

Mailing address

PO Box 106
Ryland, AL 35767-0106
Phone (256) 509-3465

National Provider Directory

National Provider Directory

Locations

2622 Jordan Ln NW
Huntsville, AL 35816
Phone (256) 509-3465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1033736749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "RYLAND",
            "state": "AL",
            "postal_code": "357670106",
            "telephone_number": "256-509-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 JORDAN LN NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161014",
            "telephone_number": "256-509-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY/ CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "CLAYBORN",
        "authorized_official_first_name": "ESOPHIA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/CLINICIAN/SOLE PROP",
        "authorized_official_telephone_number": "256-509-3465",
        "authorized_official_credential": "LICSW-PIP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.