Active NPI
Camille W. Clemens-Clayton, PH.D.
- Clinical Psychologist
- Conroe, TX
National Provider Identifier
1265800031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36809
- Practice address
- 800 Riverwood CT
Conroe, TX 77304-2890 - Phone
- (936) 697-1468
- NPI assigned
- Sep 9, 2015
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 36809 | TX | Primary |
Addresses
Primary practice location
800 Riverwood CT
Conroe, TX 77304-2890
Mailing address
PO Box 9829
The Woodlands, TX 77387-6829
Phone (936) 697-1468
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 |
|---|---|---|---|
| 36809 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1265800031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9829",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773876829",
"telephone_number": "936-697-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RIVERWOOD CT",
"city": "CONROE",
"state": "TX",
"postal_code": "773042890",
"telephone_number": "936-697-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENS-CLAYTON",
"first_name": "CAMILLE",
"middle_name": "W.",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
- Jeffrey Paul Clark, D.M.D.
- William Clark, ATC, LAT
- Phillipa Clarkson
- Marie Clary, PTA
- Claudis Martin Medical Care PLLC (Southern Secrets Med Spa)
- Casey Lee Clements, D.D.S.
- Samantha Mary-Kathleen Clemons, FNP-C
- Tracy Clifford, LVN
- Clifton Global Healthcare Solutions LLC
- Vickie Cline, OPA-C, LSA, SA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.