Carolyn S. Clement, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

005569 Issued in NY

Practice address

185 W End Ave
#1L
New York, NY 10023-5539

Phone

(212) 595-6135

NPI assigned

Nov 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 10, 2016 through Oct 10, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1881922201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W END AVE",
            "address_2": "#1L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235539",
            "telephone_number": "212-595-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W END AVE",
            "address_2": "#1L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235539",
            "telephone_number": "212-595-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "CAROLYN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clemens a. Loew,PH.D, P.a.
• Stephanie Garrett Clemens, M.D.
• Alexus Naomi Clemenson
• Clement M. Barone, M.D., P.C.
• Audrey Clement, RN
• Christine Clement, RD
• Daniel Clement, M.D.
• Josh Clement, PHARMD
• Clemente Physical Therapy PC
• Andrea Clemente, M.S.ED

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.