Individual provider Active NPI

Joseph Paul Clem, MA, LMFT

  • Marriage & Family Therapist
  • Williamsville, NY
National Provider Identifier
1528332392
Registry record updated Feb 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000774-1 Issued in NY
Practice address
5144 Sheridan Dr Ste 1
Williamsville, NY 14221-4653
Phone
(716) 860-9178
NPI assigned
Feb 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000774-1 NY Primary

Addresses

Primary practice location

5144 Sheridan Dr Ste 1
Williamsville, NY 14221-4653

Mailing address

172 Patton PL
Williamsville, NY 14221-3758
Phone (716) 860-9178

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000774-1NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330214400000",
    "number": "1528332392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 PATTON PL",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213758",
            "telephone_number": "716-860-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 SHERIDAN DR STE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214653",
            "telephone_number": "716-860-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEM",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-26",
        "last_updated": "2012-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000774-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2012; 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.