Provider Demographics
NPI:1093235459
Name:CLARITY BEHAVIORAL MEDICINE LLC
Entity Type:Organization
Organization Name:CLARITY BEHAVIORAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PSYCHOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:HOWELL
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:541-244-2643
Mailing Address - Street 1:10 CRATER LAKE AVE STE 18
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7445
Mailing Address - Country:US
Mailing Address - Phone:541-244-2643
Mailing Address - Fax:541-248-6254
Practice Address - Street 1:10 CRATER LAKE AVE STE 18
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7445
Practice Address - Country:US
Practice Address - Phone:541-625-0072
Practice Address - Fax:541-248-6254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500730109Medicaid
MN608723000Medicaid