Active NPI
Clayton Houston Allred
- Clinical Child & Adolescent Psychologist
- Toledo, OH
National Provider Identifier
1295398683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 2150 W Central Ave # Level2
Toledo, OH 43606-3834 - Phone
- (291) 419-7919
- NPI assigned
- Apr 21, 2019
- Sex
- Male
- 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 Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
2150 W Central Ave # Level2
Toledo, OH 43606-3834
Mailing address
5727 Tibaron LN Apt 311
Toledo, OH 43615-9264
Phone (662) 603-9054
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Children'S Specialists | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Toledo, OH
- NPI 1245444959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555804800000",
"number": "1295398683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5727 TIBARON LN APT 311",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436159264",
"telephone_number": "662-603-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 W CENTRAL AVE # LEVEL2",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063834",
"telephone_number": "291-419-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "CLAYTON",
"middle_name": "HOUSTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-21",
"last_updated": "2019-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.