Active NPI
Jeffrey L Clausel, PH.D.
- Clinical Psychologist
- Baker City, OR
National Provider Identifier
1508893058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1400
- Practice address
- 1705 Main St, Suite 501
Baker City, OR 97814-3465 - Phone
- (541) 523-4715
- Fax
- (541) 523-2628
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1400 | OR | Primary |
Addresses
Primary practice location
1705 Main St, Suite 501
Baker City, OR 97814-3465
Mailing address
1705 Main St
PO Box 470
Baker City, OR 97814-3465
Phone (541) 523-4715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1400 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508893058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 MAIN ST",
"address_2": "PO BOX 470",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978143465",
"telephone_number": "541-523-4715",
"fax_number": "541-523-2628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 MAIN ST, SUITE 501",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978143465",
"telephone_number": "541-523-4715",
"fax_number": "541-523-2628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUSEL",
"first_name": "JEFFREY",
"middle_name": "L",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.