Active NPI
Clayton Todd Manning, PHD
- Clinical Psychologist
- Joint Base Lewis-McChord, WA
National Provider Identifier
1972763720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1490
- Practice address
- HQ, 1St Special Forces Group (Airborne)
BLDG 09937 Garfield St.
Joint Base Lewis-McChord, WA 98433-9500 - Phone
- (253) 967-3102
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1490 | AL | Primary |
Addresses
Primary practice location
HQ, 1St Special Forces Group (Airborne)
BLDG 09937 Garfield St.
Joint Base Lewis-McChord, WA 98433-9500
Mailing address
HQ, 1St Special Forces Group (Airborne)
BLDG 09937 Garfield St.
Joint Base Lewis-McChord, WA 98433-9500
Phone (253) 967-3102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1490 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1972763720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HQ, 1ST SPECIAL FORCES GROUP (AIRBORNE)",
"address_2": "BLDG 09937 GARFIELD ST.",
"city": "JOINT BASE LEWIS-MCCHORD",
"state": "WA",
"postal_code": "984339500",
"telephone_number": "253-967-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HQ, 1ST SPECIAL FORCES GROUP (AIRBORNE)",
"address_2": "BLDG 09937 GARFIELD ST.",
"city": "JOINT BASE LEWIS-MCCHORD",
"state": "WA",
"postal_code": "984339500",
"telephone_number": "253-967-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "CLAYTON",
"middle_name": "TODD",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Lewis-McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.