Active NPI
Jennifer D. Clayton, PH.D.
- School Psychologist
- High Point, NC
National Provider Identifier
1093941197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3506
- Practice address
- 721 N Elm St
Ste 101
High Point, NC 27262-3929 - Phone
- (336) 802-2205
- Fax
- (336) 802-2599
- NPI assigned
- Jun 3, 2009
- Last updated
- Nov 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3506 | NC | Primary |
Addresses
Primary practice location
721 N Elm St
Ste 101
High Point, NC 27262-3929
Mailing address
1701 Westchester Dr
Ste 850
High Point, NC 27262-7254
Phone (336) 802-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6001174 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3506 | NC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Past | Accepting new patients | |
| Cornerstone Health Care PA | Past | Accepting new patients | |
| Cornerstone Health Care, PA | Past | Accepting new patients | |
| Bio-Tech Prosthetics and Orthotics of High Point Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthetic/Orthotic Supplier
- High Point, NC
- NPI 1730430026
-
- Cardiovascular Disease Physician
- Statesville, NC
- NPI 1275914046
-
dba Cornerstone Behavioral Medicine at Premier
- Counselor
- High Point, NC
- NPI 1356695670
-
dba Atrium Health Levine Children's Pediatrics Northwest
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1093941197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DR",
"address_2": "STE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2400",
"fax_number": "336-802-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N ELM ST",
"address_2": "STE 101",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623929",
"telephone_number": "336-802-2205",
"fax_number": "336-802-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "JENNIFER",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NC",
"license": "3506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6001174",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.