Active NPI
Jarrett Jemale Clifton, LEP
- School Psychologist
- El Cajon, CA
National Provider Identifier
1174161004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LEP3974
- Practice address
- 270 E Douglas Ave
El Cajon, CA 92020-4514 - Phone
- (760) 503-5234
- NPI assigned
- Dec 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | LEP3974 | CA | Primary |
Addresses
Primary practice location
270 E Douglas Ave
El Cajon, CA 92020-4514
Mailing address
270 E Douglas Ave
El Cajon, CA 92020-4514
Phone (760) 503-5234
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LEP3974 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1174161004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 E DOUGLAS AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920204514",
"telephone_number": "760-503-5234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 E DOUGLAS AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920204514",
"telephone_number": "760-503-5234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFTON",
"first_name": "JARRETT",
"middle_name": "JEMALE",
"name_prefix": "Mr.",
"credential": "LEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-10",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "LEP3974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.