Clearfork Academy

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CLEARFORK ACADEMY

Practice address

4255 Bryant Irvin Rd
Fort Worth, TX 76109-4233

Phone

(817) 714-1311

NPI assigned

Jun 27, 2019

Organization subpart

Yes

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

Authorized official

Name

Austin Davis, LPC-SUPERVISOR

Title

Founder & Ceo

Phone

(817) 714-1311

Specialties & licenses 1

Addresses

Other names 1

• Clearfork Academy Former legal business name

Part of

Clearfork Academy

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1487215737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 HANGER CUT OFF RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76135",
            "telephone_number": "817-714-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 BRYANT IRVIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094233",
            "telephone_number": "817-714-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARFORK ACADEMY",
        "organizational_subpart": "YES",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "817-714-1311",
        "authorized_official_credential": "LPC-SUPERVISOR"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearfork Academy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jenifer Alexandra Clayton, FNP-C
• Melissa Clayton, LPC
• Sydney Clayton
• Clear Eye Associates and Optical PC
• Clearcut Ortho, LLC
• Clearfork Academy LP
• Clearfork Behavior Services LLC
• Clearfork Behavioral Health, LLC
• Clearfork Pharmacy, LLC
• Clearly Speaking PLLC

• Adolescent and Children Mental Health Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Adolescent and Children Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.