LACY CLAYTON WELLNESS
NPI 1073390621
Nurse Practitioner - Psychiatric/Mental Health in Wyncote, PA

Active since September 08, 2023
102 WAVERLY RD, WYNCOTE, PA 19095(267) 944-6220 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lacy Clayton Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACY CLAYTON WELLNESS (NPI 1073390621) is a healthcare organization registered as a psychiatric/mental health in Wyncote, Pennsylvania and active in the NPI registry since September 2023. The organization lists Lacy Rae Clayton, Owner, as its authorized official.

NPPES Registry Identity

NPI1073390621
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLACY CLAYTON WELLNESS
Location Address102 WAVERLY RDWyncote, PA 19095-1322
Mailing Address102 Waverly RdWyncote, PA 19095-1322 · (267) 944-6220
Organization SubpartNo
Authorized OfficialLacy Rae ClaytonOwner · (267) 944-6220
Enumeration DateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
NPI 1073390621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
102 WAVERLY RD, Wyncote, PA 19095

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
102 WAVERLY RD
WYNCOTE, PA 19095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacy Clayton Wellness's NPI number?

The NPI number for Lacy Clayton Wellness is 1073390621. It was assigned to this organization in the NPPES registry on September 8, 2023.

Where is Lacy Clayton Wellness located?

Lacy Clayton Wellness is located at 102 Waverly Rd, Wyncote, PA 19095. The listed phone number is (267) 944-6220.

What is Lacy Clayton Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lacy Clayton Wellness was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.