Carol Clifton, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

767 Issued in OR

Practice address

10365 SE Sunnyside Rd Ste 240
Clackamas, OR 97015-5752

Phone

(503) 724-1722

Fax

(503) 771-6435

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1609824523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10365 SE SUNNYSIDE RD STE 315",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155748",
            "telephone_number": "503-724-1722",
            "fax_number": "503-855-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10365 SE SUNNYSIDE RD STE 240",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155752",
            "telephone_number": "503-724-1722",
            "fax_number": "503-771-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "CAROL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Harvey Clark, PA-C
• David D Clarke, MD
• Christopher Michael Clements, MD
• Leslie Nicole Clements, LCSW
• Stephen Jay Cleveland, RN
• Tony Shuo-Wen Clinton-Merrell, MD
• Chloe Noelle Coates, LMT
• Rachel Lela Cochenour, MSW
• Tami Rachel Cochran, PTA
• Eric Paul Cocke, RRT

• Clinical Psychologist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.

Verify at the official NPI Registry.