Active NPI
Valerie A Clemons, MD
- Psychiatry Physician
- Camden, ME
National Provider Identifier
1699867887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 015510
- Practice address
- 21 Elm St FL 3
Camden, ME 04843-1902 - Phone
- (207) 975-2078
- Fax
- (207) 236-3040
- NPI assigned
- Sep 28, 2006
- Last updated
- May 2, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 015510 | ME | Primary |
Addresses
Primary practice location
21 Elm St FL 3
Camden, ME 04843-1902
Mailing address
PO Box 1445
Camden, ME 04843-1445
Phone (207) 975-2078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104000000 | Medicaid | ME |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015510 | ME | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Coast Mental Health Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Rockland, ME
- NPI 1376642066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1699867887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1445",
"city": "CAMDEN",
"state": "ME",
"postal_code": "048431445",
"telephone_number": "207-975-2078",
"fax_number": "207-594-8054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 ELM ST FL 3",
"city": "CAMDEN",
"state": "ME",
"postal_code": "048431902",
"telephone_number": "207-975-2078",
"fax_number": "207-236-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "VALERIE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "015510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104000000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camden, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.