Active NPI
William G Clafton, LP
- Psychologist
- Red Wing, MN
National Provider Identifier
1457592040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP4994
- Practice address
- 1755 Old West Main St
Suite 204
Red Wing, MN 55066-2088 - Phone
- (651) 385-9131
- Fax
- (651) 385-9141
- NPI assigned
- Mar 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP4994 | MN | Primary |
Addresses
Primary practice location
1755 Old West Main St
Suite 204
Red Wing, MN 55066-2088
Mailing address
1755 Old West Main St
Suite 204
Red Wing, MN 55066-2088
Phone (651) 385-9131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1755 Old W Main St
Suite 204
Red Wing, MN 55066-3057
Phone (651) 448-6502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bill Clafton PSYD LP LLC | Psychologist | Current | Accepting new patients |
Locations
1755 Old West Main St
Ste 204
Red Wing, MN 55066
Phone (651) 385-9131
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450483200000",
"number": "1457592040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 OLD WEST MAIN ST",
"address_2": "SUITE 204",
"city": "RED WING",
"state": "MN",
"postal_code": "550662088",
"telephone_number": "651-385-9131",
"fax_number": "651-385-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 OLD WEST MAIN ST",
"address_2": "SUITE 204",
"city": "RED WING",
"state": "MN",
"postal_code": "550662088",
"telephone_number": "651-385-9131",
"fax_number": "651-385-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAFTON",
"first_name": "WILLIAM",
"middle_name": "G",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-12",
"last_updated": "2015-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP4994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Wing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.