Active NPI
Clarity Behavioral Medicine LLC
- Clinical Psychologist
- Medford, OR
National Provider Identifier
1093235459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Forensic Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500730109 | Medicaid | OR | |
| 608723000 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DrStevenCarter@direct.practicefusion.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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
- 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.