Organization Active NPI

Clarity Behavioral Medicine LLC

  • Clinical Psychologist
  • Medford, OR
National Provider Identifier
1093235459
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLARITY BEHAVIORAL MEDICINE LLC
Practice address
10 Crater Lake Ave Ste 18
Medford, OR 97504-7445
Phone
(541) 625-0072
Fax
(541) 248-6254
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Dr. Steven Howell Carter, PSYD
Title
Doctor of Psychology
Phone
(541) 244-2643

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X

Addresses

Primary practice location

10 Crater Lake Ave Ste 18
Medford, OR 97504-7445

Mailing address

10 Crater Lake Ave Ste 18
Medford, OR 97504-7445
Phone (541) 244-2643

Other identifiers 2

IdentifierTypeStateIssuer
500730109MedicaidOR
608723000MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DrStevenCarter@direct.practicefusion.com Direct

National Provider Directory

National Provider Directory

Locations

7 Crater Lake Ave
Ofc 7A
Medford, OR 97504
Phone (541) 244-2643

10 Crater Lake Ave
Ste 18
Medford, OR 97504
Phone (541) 244-2643

Interoperability endpoints

  • Direct secure messaging: drstevencarter@direct.practicefusion.com

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1093235459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CRATER LAKE AVE STE 18",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047445",
            "telephone_number": "541-244-2643",
            "fax_number": "541-248-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CRATER LAKE AVE STE 18",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047445",
            "telephone_number": "541-625-0072",
            "fax_number": "541-248-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY BEHAVIORAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "HOWELL",
        "authorized_official_title_or_position": "DOCTOR OF PSYCHOLOGY",
        "authorized_official_telephone_number": "541-244-2643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500730109",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608723000",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrStevenCarter@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "10 Crater Lake Ave Ste 18",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975047445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.