Clifton Robert Hudson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

908 Issued in WV

Practice address

515 3Rd Ave
Suite 100
South Charleston, WV 25303-1329

Phone

(304) 415-2299

Fax

(800) 983-2875

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clifton R. Hudson, PH.D.

  • Forensic Psychologist
  • Charleston, WV
  • NPI 1194261123
  NPD (past) Authorized official
• Highland Behavioral Health Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, WV
  • NPI 1760896740
  NPD (past)
• Saar Psycholgical Group PLLC

  • Clinical Psychologist
  • South Charleston, WV
  • NPI 1912271537
  NPD (past)
• Saar Psychological Group PLLC

  • Clinical Psychologist
  • South Charleston, WV
  • NPI 1306063268
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348963200000",
    "number": "1962413567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WINDSONG WAY",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "252139729",
            "telephone_number": "304-415-2299",
            "fax_number": "800-983-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 3RD AVE",
            "address_2": "SUITE 100",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031329",
            "telephone_number": "304-415-2299",
            "fax_number": "800-983-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "CLIFTON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "908",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "908",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "WV",
            "license": "908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002673",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayna Howe
• Samantha Hoyer
• Bethany Dawn Hoylman, RN, MSN, FNP-BC
• Amanda Lee Hudnall, PMHNP-BC
• Ashley Hudnall
• Gail Huffman
• Karry Huffman
• Morgan Huffman
• Regina Huffman
• Stephanie Diane Huffman, COTA

• Clinical Psychologist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.