NPIMap

Organization Active NPI

Claytor Clinic, Inc.

Doing business as Claytor Memorial Clinic

  • Child & Adolescent Psychiatry Physician
  • Rocky Mount, VA
National Provider Identifier
1689180200
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
CLAYTOR CLINIC, INC.
Doing business as
Claytor Memorial Clinic
Practice address
1625 Franklin St
Rocky Mount, VA 24151-6390
Phone
(540) 483-0373
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Dr. Richard L Claytor Jr., MDNPI 1376633610
Title
Owner/Medical Director
Phone
(540) 483-0373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

1625 Franklin St
Rocky Mount, VA 24151-6390

Mailing address

1625 Franklin St
Rocky Mount, VA 24151-6390
Phone (540) 483-0373

Other names 1

  • Claytor Memorial Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1625 Franklin St
Rocky Mount, VA 24151
Phone (540) 483-9082

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1689180200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 FRANKLIN ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241516390",
            "telephone_number": "540-483-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 FRANKLIN ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241516390",
            "telephone_number": "540-483-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTOR CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "CLAYTOR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "540-483-0373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claytor Memorial Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.