Mary Ellen Clifford, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017001 Issued in NY

Practice address

93 Orange Tpke
Sloatsburg, NY 10974-1907

Phone

(914) 906-2965

NPI assigned

Jan 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: maryclifford@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567
  NPD

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1649810318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 ORANGE TPKE",
            "city": "SLOATSBURG",
            "state": "NY",
            "postal_code": "109741907",
            "telephone_number": "914-906-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 ORANGE TPKE",
            "city": "SLOATSBURG",
            "state": "NY",
            "postal_code": "109741907",
            "telephone_number": "914-906-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drclifford@onsitepsy.com",
            "affiliation": "N",
            "address_1": "93 Orange Tpke",
            "city": "Sloatsburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109741907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drclifford@onsitepsy.com",
            "affiliation": "N",
            "endpointDescription": "onsite email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "93 Orange Tpke",
            "city": "Sloatsburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109741907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Ann Ash, O.T.R.
• Bernard H Berson, M.D.
• Marie Demaio
• Oksana Glinchuk, RN
• Andrea C Golden
• Euric V Guerrero, B.C.B.A., M.A.
• Haas Pharmacy Inc

• Clinical Psychologist in Sloatsburg, NY
• Providers in Sloatsburg, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.