Clifford Enslen, ED.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

OH3209294 Issued in OH

Practice address

100 Debartolo Place
Suite 200
Youngstown, OH 44512

Phone

(330) 965-7828

NPI assigned

Mar 19, 2015

Last updated

Mar 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1336533058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEBARTOLO PL",
            "address_2": "SUITE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445127011",
            "telephone_number": "330-965-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEBARTOLO PLACE",
            "address_2": "SUITE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-965-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSLEN",
        "first_name": "CLIFFORD",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "OH3209294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OH3209294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empowered Minds Counseling
• Keshia Enaw Ebob-Tabe, MD
• Aeren Michele Endicott, LPN
• Molly E Engle, CMS, QMHS
• Rose Englert
• Kathi Ensweiler, C.PED
• Enterprise Care LLC
• Jennifer Enyeart, LPC
• Erica Moore
• Valgene Eilene Erickson

• Psychologist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.