Clifton Ray Jones, PH.D.
Individual provider Active NPI School Psychologist · Bayard, NM
NPI 1740310499 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740310499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 218335 (NM)
- Practice address
- 900 Central
Bayard, NM 88023 - Phone
- (505) 537-4017
- Fax
- (505) 537-3921
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218335 | NM | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobre Consolidated Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 218335 | NM | Yes |
Addresses
Primary practice location
900 Central
Bayard, NM 88023
Mailing address
900 Central
Bayard, NM 88023
Phone (505) 537-4017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 525978530(Q5521) | Medicaid | NM |
Other providers in Bayard, NM
- Rosemary L Gutierrez
- Hidalgo Medical Services
- Hidalgo Medical Services
- Brad K Holmgren
- Antonio Gonzales Jacquez
- Luna de Cobre Therapy Center, LLC
- Brittany Rose Madrid
- Janis Katrina Marquez
- Melissa C Maynes
- Roselia Andujo Molina
All providers in Bayard, NM · School Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.