DR. CHARLES RUSSELL CLIFTON JR. PHD
NPI 1366587040
Psychologist - Clinical in Gainesville, FL

Active since February 21, 2007
2121 NW 40TH TERRACE, SUITE B, GAINESVILLE, FL 32605(352) 336-2888(352) 371-1730 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles Russell Clifton Jr. Phd NPPES

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

DR. CHARLES RUSSELL CLIFTON JR. PHD (NPI 1366587040) is an individual clinical provider in Gainesville, Florida, licensed in Florida (PY2731) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1366587040
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CHARLES RUSSELL CLIFTON JR.Credential: PHD
Location Address2121 NW 40TH TERRACE, SUITE BGainesville, FL 32605
Mailing Address2121 Nw 40th Ter, Suite BGainesville, FL 32605-5813 · (352) 336-2888 · Fax (352) 371-1730
Fax(352) 371-1730
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateDecember 12, 2011
NPI 1366587040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in FL · PY2731
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2121 NW 40TH TERRACE, Gainesville, FL 32605

Other Identifiers 2

Medicare ID-Type Unspecified75541
Medicare UPINNPP000

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
2121 NW 40TH TERRACE, STE C
GAINESVILLE, FL 32605

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 Charles Clifton's NPI number?

The NPI number for Charles Clifton is 1366587040. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Charles Clifton located?

Charles Clifton practices at 2121 NW 40th Terrace Suite B, Gainesville, FL 32605. The listed phone number is (352) 336-2888.

What is Charles Clifton's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Charles Clifton was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.