DR. CHARLES RUSSELL CLIFTON JR. (NPI# 1366587040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366587040 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RUSSELL CLIFTON JR. |
| Credential | PHD |
| Practice Address |
2121 Nw 40th Terrace Suite B Gainesville FL 32605 |
| Mailing Address |
2121 Nw 40th Ter Suite B Gainesville FL 32605-5813 |
| Practice Telephone | 3523362888 |
| Practice Fax Number | 3523711730 |
| Mailing Telephone | 3523362888 |
| Mailing Fax Number | 3523711730 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY2731 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366554743 | Charles Clifton | Family Medicine | 55a South Broadview, Greenbrier, AR 72058-9475 | 2006-08-31 |
| 1720076102 | Charles Steven Clifton | Physician Assistant | 396 S Main St, Crossville, TN 38555-5092 | 2005-10-11 |
| 1376935965 | Charles Clifton | Pharmacist | 2150 Dixie Hwy, Fort Mitchell, KY 41017-2902 | 2015-02-19 |
| 1912240904 | Charles Clifton | Family Medicine | 13515 Wolfe Rd, Suite C, New Freedom, PA 17349-9346 | 2013-03-28 |
| 1194764795 | Charles L Clifton Jr. | Anesthesiology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2006-06-06 |
| Street Address |
2121 NW 40TH TERRACE SUITE B |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336174846 | Caton & Taylor Pa | Dentist | 2121 Nw 40th Terrace, Ste C, Gainesville, FL 32605 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992353999 | Greater Gainesville Counseling & Wellness Center | Psychologist | 4130 Nw 37th Pl Ste Boffice1, Gainesville, FL 32606-8152 | 2019-09-03 |
| 1518515089 | Joseph Michael Gullett | Psychologist | 1600 Sw Archer Rd Rm G-901, Gainesville, FL 32610-1135 | 2019-08-28 |
| 1710532205 | Robert Scott Merrell | Psychologist | 3940 Nw 37th Pl, Gainesville, FL 32606-6145 | 2019-08-02 |
| 1669974713 | Alana Rawlinson | Psychologist | 1600 Sw Archer Rd Ste G-901, Gainesville, FL 32610-3003 | 2018-03-05 |
| 1407397037 | North Georgia Neuropsychological Services | Psychologist | 1485 Jesse Jewel Parkway Se, Gainesville, GA 30501 | 2017-03-15 |
| 1295111839 | Cari Short | Psychologist | 8320 Pine Knott Ct, Gainesville, VA 20155-5218 | 2015-08-05 |
| 1104223890 | Jennifer Martin | Psychologist | 1624 Nw 6th St, Gainesville, FL 32609-3530 | 2014-11-25 |
| 1942620646 | Joy Gabrielli | Psychologist | 2000 Sw Archer Rd G-901, Gainesville, FL 32610-7825 | 2014-04-21 |
| 1518392828 | Regilda Anne Romero | Psychologist | 2121 Nw 40th Ter Ste B, Gainesville, FL 32605-5814 | 2013-09-05 |
| 1003257189 | Marc Kepner LLC | Psychologist | 9224 Nw 59th Ln, Gainesville, FL 32653-2880 | 2013-07-17 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on DR. CHARLES RUSSELL CLIFTON JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.