CLAYTON GERALD PARKS (NPI# 1518346568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518346568 |
| Entity Type | Individual |
| Full Name | CLAYTON GERALD PARKS |
| Credential | M.D. |
| Practice Address |
2200 Lake Victoria Dr Springfield IL 62703-5596 |
| Practice Telephone | 2175299266 |
| Practice Fax Number | 2175299151 |
| Mailing Telephone | 2175299266 |
| Mailing Fax Number | 2175299151 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2020-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036150659 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036150659 | IL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
125069730 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 N 1st St, Springfield, IL 627023757 | 2175458000 | 2175454735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417922055 | Clayton Parks | Dentist | 2727 1st Ave Se, Cedar Rapids, IA 52402-4844 | 2006-02-17 |
| Street Address |
2200 LAKE VICTORIA DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326296856 | Gateway Foundation, Inc. | Clinic/Center | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2008-09-09 |
| 1841816741 | Stephanie Forgas | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2020-06-17 |
| 1285272591 | Gateway Professional Services, PC | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2019-12-17 |
| 1679115349 | David Bova | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2019-10-14 |
| 1063988491 | Gina Howard | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-10-24 |
| 1255807871 | Jennie Mccormick | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-10-22 |
| 1518456607 | Thomas J Beck | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-05-04 |
| 1841788932 | Joshua M Becker | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-04-25 |
| 1093203093 | Denise L Skinner | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-04-25 |
| 1699130856 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076683 | Forefront-khatkhate Medical Services PC | Psychiatry & Neurology | 600 S 2nd St Ste 404, Springfield, IL 62704-2542 | 2019-08-01 |
| 1699043976 | Terry Arthur Travis | Psychiatry & Neurology | 1200 Ravenswood, Na, Springfield, IL 62711-6079 | 2011-12-01 |
| 1659512184 | Julie A. Warren, Md LLC | Psychiatry & Neurology | 1911 S. National Avenue, Suite 405, Springfield, MO 65804 | 2009-03-12 |
| 1255577821 | William Basham | Psychiatry & Neurology | 5729 Main St # 330, Springfield, OR 97478-5426 | 2009-01-01 |
| 1679718043 | Leslie Jeanne Phelps | Psychiatry & Neurology | 1717 E. Primrose St., Apartment B204, Springfield, MO 65804-5413 | 2008-12-12 |
| 1134302656 | Interlink Behavioral Services, P.C. | Psychiatry & Neurology | 3121 S Terrace Green Ct, Springfield, MO 65804-4555 | 2007-12-06 |
| 1366621351 | Azra A Farooqui | Psychiatry & Neurology | 7745 Jewelweed Ct, Springfield, VA 22152-3148 | 2007-10-26 |
| 1093919714 | Lillian Joy Houston | Psychiatry & Neurology | 315 W Carpenter St Dept Of, Springfield, IL 62702-4901 | 2007-06-14 |
| 1881808145 | Yakhmi Mds | Psychiatry & Neurology | 1505 N Limestone St, Springfield, OH 45503-3317 | 2007-05-09 |
| 1588784706 | Asad Gobar | Psychiatry & Neurology | 5922 Hall St, Springfield, VA 22152-1401 | 2007-03-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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| 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.