Bill Clafton PSYD LP LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BILL CLAFTON PSYD LP LLC

Practice address

1755 Old West Main St Ste 204
Red Wing, MN 55066-3057

Phone

(651) 385-9131

Fax

(651) 385-9141

NPI assigned

Sep 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Bill George Clafton, PSYD LP

Title

Licensed Psychologist

Phone

(651) 385-9131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William G Clafton, LP

  • Psychologist
  • Red Wing, MN
  • NPI 1457592040

  MN, Psychologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1881243590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 OLD WEST MAIN ST STE 204",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550663057",
            "telephone_number": "651-385-9131",
            "fax_number": "651-385-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 OLD WEST MAIN ST STE 204",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550663057",
            "telephone_number": "651-385-9131",
            "fax_number": "651-385-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL CLAFTON PSYD LP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "CLAFTON",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-385-9131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Red Wing, MN
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.