Active NPI
Carly Jean Clonts
- School Psychologist
- Eureka, MO
National Provider Identifier
1740128537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 111 E North St
Eureka, MO 63025-1229 - Phone
- (636) 733-2000
- NPI assigned
- Mar 23, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
111 E North St
Eureka, MO 63025-1229
Mailing address
16454 Hickory Pine LN Apt B
Wildwood, MO 63011-4755
Phone (573) 202-1590
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1740128537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16454 HICKORY PINE LN APT B",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630114755",
"telephone_number": "573-202-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E NORTH ST",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251229",
"telephone_number": "636-733-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLONTS",
"first_name": "CARLY",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.