Clayton W. Rogers Ed D

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

416 Issued in OK

Legal business name

CLAYTON W. ROGERS ED D

Practice address

2990 N Sioux Ave
Claremore, OK 74017-3700

Phone

(918) 342-2622

Fax

(918) 342-2641

NPI assigned

Jul 14, 2008

Organization subpart

No

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

Authorized official

Name

Clayton Wayne Rogers, ED, D,

Title

Clinical Psychologist/Owner

Phone

(918) 342-2622

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1982868543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 N SIOUX AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173700",
            "telephone_number": "918-342-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 N SIOUX AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173700",
            "telephone_number": "918-342-2622",
            "fax_number": "918-342-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON W. ROGERS ED D",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "918-342-2622",
        "authorized_official_credential": "ED, D,"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100840930A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "OKB5288",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Nicole Clark
• Cassie Dawn Clark
• Ethan Clark, DC
• Megan Clark
• Susan March Clark, PRSS
• Bruce Alan Clifton, O.D.
• Baleigh McKenna Clymer
• Aimee Carol Cochran
• Cherise Nicole Coffey
• Teresa Dawn Cogburn, PTA

• Community/Behavioral Health Agency in Claremore, OK
• Providers in Claremore, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.