Individual provider Active NPI

Clark Grayson Givens, ED. S

  • School Psychologist
  • Martinsville, VA
National Provider Identifier
1396659017
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PPS-0609715 Issued in VA
Practice address
746 Indian TRL
Martinsville, VA 24112-4520
Phone
(276) 403-5820
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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 PPS-0609715 VA Primary

Addresses

Primary practice location

746 Indian TRL
Martinsville, VA 24112-4520

Mailing address

714 Indian TRL
Martinsville, VA 24112-4505
Phone (276) 732-2036

Other practice location 1

351 Commonwealth Blvd E
Martinsville, VA 24112-1979
Phone (276) 403-5870

Other practice location 2

201 Brown St
Martinsville, VA 24112-3733
Phone (276) 403-5886

Other practice location 3

1810 E Church Street Ext
Martinsville, VA 24112-3117
Phone (276) 403-5812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1396659017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 INDIAN TRL",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124505",
            "telephone_number": "276-732-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 INDIAN TRL",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124520",
            "telephone_number": "276-403-5820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Commonwealth Blvd E",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241121979",
            "country_code": "US",
            "telephone_number": "276-403-5870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Brown St",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241123733",
            "country_code": "US",
            "telephone_number": "276-403-5886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 E Church Street Ext",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241123117",
            "country_code": "US",
            "telephone_number": "276-403-5812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "CLARK",
        "middle_name": "GRAYSON",
        "name_prefix": "Mr.",
        "credential": "ED. S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "PPS-0609715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.