Active NPI
Christina Lee Clemons, PHD
- Psychologist
- Jersey City, NJ
National Provider Identifier
1144080490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35S1007443300
- Practice address
- 11 Town Square Place
Ste 1238, #20187
Jersey City, NJ 07310 - Phone
- (347) 752-2003
- NPI assigned
- Mar 21, 2024
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35S1007443300 | NJ | Primary |
Addresses
Primary practice location
11 Town Square Place
Ste 1238, #20187
Jersey City, NJ 07310
Mailing address
11 Town Square Place
Ste 1238, #20187
Jersey City, NJ 07310
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S1007443300 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1144080490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 TOWN SQUARE PLACE",
"address_2": "STE 1238, #20187",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 TOWN SQUARE PLACE",
"address_2": "STE 1238, #20187",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07310",
"telephone_number": "347-752-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "CHRISTINA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35S1007443300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.