Stephen Joseph Clavere, PH.D.
Individual provider Active NPI Counseling Psychologist · Represa, CA
NPI 1801136254 · NPPES record last updated Feb 21, 2013
Key facts
- NPI
- 1801136254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- PSY9022 (CA)
- Practice address
- 300 Prison Rd
Represa, CA 95671-3001 - Phone
- (916) 985-2561
- NPI assigned
- Feb 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PSY9022 | CA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY9022 | CA | Yes |
Addresses
Primary practice location
300 Prison Rd
Represa, CA 95671-3001
Mailing address
300 Prison Rd
Represa, CA 95671-3001
Phone (916) 985-2561
Other providers in Represa, CA
- Carol Lynn Camarillo
- Jacqueline Daasch Caoile
- Isidro Acosta Cardeno
- Adielle Carrington
- Meg Eu Cho
- Sarah Clevenger
- Daniela Coppin
- Corrections and Rehabilitation-Headquarters
- Corrections and Rehabilitation-Headquarters
- Natalie S Coss
All providers in Represa, CA · Counseling Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2013. 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.