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DR. CLINTON ALLEN MUSIL MD NPI 1366546046


NPI Information

NPI: 1366546046
Provider Name: DR. CLINTON ALLEN MUSIL, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
109 WEST WATAUGA AVENUE
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 232-2600
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DR. Clinton Allen Musil, MD is a child and adolescent psychiatry psychiatry neurology in Johnson City, TN with 32 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Clinton Allen Musil, MD NPI is 1366546046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:1992

The provider's business location address is:

109 WEST WATAUGA AVENUE
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 232-2600
Fax: (423) 232-2646

The NPI 1366546046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 1/24/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics0101240018VIRGINIANo
22084P0800XPsychiatry & NeurologyPsychiatry29150TENNESSEENo
32084P0800XPsychiatry & NeurologyPsychiatry0101240018VIRGINIANo
4208000000XPediatrics29150TENNESSEENo
52084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry0101240018VIRGINIANo
62084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry29150TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11050956OTHERCIGNA MCC
2334969OTHERVALUE OPTIONS
3620582605OTHERCARITEN PHP POS
4620582605OTHERCARITEN PHP PPO
549866OTHERUBH EMPLOYER
649866OTHERUBH SENIOR
7043641OTHERVALUE OPTIONS MED
81517319MEDICAIDTENNESSEE
93085205OTHERMAGELLAN SUMMIT
10010264626MEDICAIDVIRGINIA
11043641OTHERVALUE OPTIONS
12043641OTHERVALUE OPTIONS CBHP
133085205OTHERMAGELLAN NAVIGATOR
1449866OTHERUBH HEALTHPLAN
15620582605OTHERCARITEN PHP HMO
16620582605OTHERCARITEN PHP WORKCO
171125291OTHERFIRST HEALTH
183085205OTHERMAGELLAN PINNACLE
1938174601MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.