What is Clyde Childress's NPI number?

Clyde Childress's National Provider Identifier (NPI) is 1376998898, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Clyde Childress's specialty?

Clyde Childress is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Clyde Childress located?

Clyde Childress's practice location on file with NPPES is 1466 Lincoln Ave, San Rafael, CA 94901-2021.

What is Clyde Childress's phone number?

The practice phone number listed in the NPPES registry for Clyde Childress is (415) 457-3755.

Is Clyde Childress's NPI active?

Yes — Clyde Childress's NPI (1376998898) is active in the NPPES registry as of the last update on 2016-05-03.

IndividualActive

Clyde Childress

NPI 1376998898 · Counselor · San Rafael, CA

Clyde Childress is a Counselor provider in San Rafael, CA (NPI 1376998898).

Provider details

NPI number: 1376998898
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes
License: C1106010028 (CA)

Specialties & taxonomies

CounselorPrimary101Y00000XLicense C1106010028 (CA)
Behavioral Health & Social Service Providers

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1466 Lincoln Ave

San Rafael, CA 94901-2021

Phone: (415) 457-3755

Street-level locationGet directions

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Mailing address