Clements Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

002986 Issued in GA

Legal business name

CLEMENTS PSYCHOLOGICAL SERVICES

Practice address

1830 Independence SQ
Suite a
Atlanta, GA 30338-5150

Phone

(770) 375-0351

Fax

(770) 804-1241

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ryan L Clements, PSY.D.NPI 1255492609

Title

President

Phone

(770) 375-0351

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan L Clements, PSY.D.

  • Psychologist
  • Atlanta, GA
  • NPI 1255492609
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1427112853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 INDEPENDENCE SQ",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385150",
            "telephone_number": "770-375-0351",
            "fax_number": "770-804-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 INDEPENDENCE SQ",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385150",
            "telephone_number": "770-375-0351",
            "fax_number": "770-804-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-375-0351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "002986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Clement
• Jeffrey Payne Clement, PT
• Kira Elisabeth Clement
• Sarah Hayden Clement, DPT
• Jennifer Clemente
• Delveatra Devance Clements, PHARMD
• James Constantine Clements, PA-C
• Marissa J. Clements, PSY.D.
• Ryan L Clements, PSY.D.
• Sandra D Clements, R.N.

• All providers in Atlanta, GA
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.