Individual provider Active NPI

Claudia Joan Clement, M. ED.

  • School Psychologist
  • Santa Barbara, CA
National Provider Identifier
1174682058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
CERTIFICATED Issued in CA
Practice address
104 W Arrellaga St
Santa Barbara, CA 93101-2916
Phone
(805) 966-1357
Fax
(805) 963-1383
NPI assigned
Dec 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X CERTIFICATED CA Primary

Addresses

Primary practice location

104 W Arrellaga St
Santa Barbara, CA 93101-2916

Mailing address

PO Box 1082
Summerland, CA 93067-1082
Phone (805) 966-1357

Other identifiers 1

IdentifierTypeStateIssuer
2567OtherCAADMHS STAFF IDENT. NUMBER

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
Master of Education

State licenses

LicenseStateTypeSpecialty
CERTIFICATEDCAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174682058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1082",
            "city": "SUMMERLAND",
            "state": "CA",
            "postal_code": "930671082",
            "telephone_number": "805-966-1357",
            "fax_number": "805-963-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W ARRELLAGA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012916",
            "telephone_number": "805-966-1357",
            "fax_number": "805-963-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "CLAUDIA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "M. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "CERTIFICATED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMHS STAFF IDENT. NUMBER",
            "identifier": "2567",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.