Damaris D. Clement, MFT, PSY D

Primary specialty

SpecialistTaxonomy code 174400000X

License

MFT35027 Issued in CA

Practice address

9107 Wilshire Blvd Ste 215
Beverly Hills, CA 90210-5522

Phone

(310) 274-4770

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Maris D. Clement Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720291974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 N SPAULDING AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464012",
            "telephone_number": "323-512-2292",
            "fax_number": "323-512-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 WILSHIRE BLVD STE 215",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105522",
            "telephone_number": "310-274-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "DAMARIS",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MFT, PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "MFT35027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIS",
            "last_name": "CLEMENT",
            "middle_name": "D.",
            "credential": "MFT, PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.