Active NPI
David Clay, PH.D.
- Clinical Psychologist
- Quincy, FL
National Provider Identifier
1609443647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7722
- Practice address
- 435 N Jackson St
Quincy, FL 32351-1731 - Phone
- (850) 345-7989
- NPI assigned
- Jun 8, 2021
- Last updated
- Jun 8, 2021
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7722 | FL | Primary |
Addresses
Primary practice location
435 N Jackson St
Quincy, FL 32351-1731
Mailing address
435 N Jackson St
Quincy, FL 32351-1731
Phone (850) 345-7989
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7722 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1609443647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N JACKSON ST",
"city": "QUINCY",
"state": "FL",
"postal_code": "323511731",
"telephone_number": "850-345-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N JACKSON ST",
"city": "QUINCY",
"state": "FL",
"postal_code": "323511731",
"telephone_number": "850-345-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, FL
- Children Are Our Future Inc
- Choices Therapeutic and Court Services, L.L.C.
- Edna Clark, CD(DONA)
- Quinton Clark
- Quantara L Clarke, DIRECTOR
- Chelsea Desiree Close, COTA
- Collins Companion Care &Co LLC
- Zarien Atavia Colson, M.ED, LMHC
- Compassionate Touch Healthcare Services, LLC
- Jimmie Dean Copeland Jr., LPN, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.