Claytor Memorial Clinic

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

0101055727 Issued in VA

Legal business name

CLAYTOR MEMORIAL CLINIC

Practice address

1625 Franklin St
Rocky Mount, VA 24151-6390

Phone

(844) 543-9362

NPI assigned

Dec 14, 2015

Last updated

Dec 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Lamont Claytor Jr., MD

Title

Owner

Phone

(540) 598-6321

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1720453905",
    "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": "844-543-9362"
        },
        {
            "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": "844-543-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTOR MEMORIAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "CLAYTOR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-598-6321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101055727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376633610",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Chocklette
• Christine E Barrett & Heathcliff Quioco PTR
• Christine E Barrett MD
• Elizabeth Christman, PA-C
• Claytor Clinic, Inc. (Claytor Memorial Clinic)
• Charles T. Clemens, D.D.S.
• John Larry Clements, D.P.M.
• Kayla Nichole Clendenin, SLP
• Maggie Anne Colicchio
• Commonwealth of Virginia State Board of Health (Franklin County Health Department)

• Child & Adolescent Psychiatry Physician in Rocky Mount, VA
• Providers in Rocky Mount, VA by specialty
• Child & Adolescent Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.