DR. MARIEL LAKEITHA CLARK (NPI# 1013343607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013343607 |
| Entity Type | Individual |
| Full Name | DR. MARIEL LAKEITHA CLARK |
| Credential | PSY.D. |
| Practice Address |
191 Katherine Ave Ozark AL 36360-1976 |
| Practice Telephone | 3347747704 |
| Practice Fax Number | 3347747704 |
| Mailing Telephone | 3347747704 |
| Mailing Fax Number | 3347747704 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1838 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568475523 | Mariel Clark | Physician Assistant | 9501 Roosevelt Blvd, Suite 410, Philadelphia, PA 19114-1025 | 2006-08-14 |
| Street Address |
191 KATHERINE AVE |
| City | OZARK |
| State | AL |
| Zip Code | 36360-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568526176 | Thomas Nixon | Counselor | 191 Katherine Ave, Ozark, AL 36360-1976 | 2006-12-20 |
| 1841317450 | Center for Counseling & Human Development Inc | Counselor | 191 Katherine Ave, Ozark, AL 36360 | 2007-03-26 |
| 1265566954 | Theron Michael Covin | Counselor | 191 Katherine Ave, Ozark, AL 36360 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385906 | Wei Xuan Lim | Behavior Technician | 850 Andrews Ave, Suite 2, Ozark, AL 36360 | 2020-08-03 |
| 1831638220 | Rebekah Layne Windsor | Occupational Therapist | 193 Sam Lisenby Road, Sumlar Therapy, Ozark, AL 36360 | 2017-02-17 |
| 1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
| 1578948436 | Jones Mobile Phlebotomy Servies, Inc. | Technician, Pathology | 343 Acker Ave, Ozark, ALABAMA 36360 | 2015-07-21 |
| 1740623701 | Dr. Tucker and Associates, Inc. | Counselor | 1566 A East Andrews Avenue, Ozark, AL 36360 | 2013-04-09 |
| 1093036592 | City of Ozark City Clerk | Ambulance | 188 Peacock Parkway, Ozark, AL 36360 | 2010-06-18 |
| 1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
| 1821295940 | Ozark City | Local Education Agency (LEA) | 1044 Andrews Ave, Ozark, AL 36360 | 2007-07-02 |
| 1548303761 | Dale County Health Dept Mat | Public Health or Welfare | 200 Katherine Avenue, Ozark, AL 36360 | 2007-02-15 |
| 1952462954 | Alan Conrad | Chiropractor | 1817 Andrews Ave, Ozark, AL 36360 | 2006-12-13 |
| Find all providers in zip 36360 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520204 | Tricia Witte | Psychologist | 4405 Woodland Hills Dr, Tuscaloosa, AL 35405-5420 | 2020-08-26 |
| 1659906212 | Keisha Wilson | Psychologist | 6573 Kings Branch Dr N, Mobile, AL 36618-4697 | 2020-03-04 |
| 1194284265 | Jeremiah Precious Barnett | Psychologist | 8449 Crossland Loop Ste 121, Montgomery, AL 36117-0919 | 2019-03-18 |
| 1568936102 | Quinton Lamar Agee | Psychologist | 4479 Flagstone Ln, Pinson, AL 35126-3700 | 2019-01-16 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1700387750 | Krista Ruth Mehari | Psychologist | 75 S University Blvd Ucom 2000, Mobile, AL 36688-0001 | 2018-02-26 |
| 1043726482 | Chenetra D Buchannon | Psychologist | 2400 Hospital Rd # 4a-209, Tuskegee, AL 36083-5001 | 2017-12-21 |
| 1265983878 | Claudia Mcdade | Psychologist | 375a Beach Club Trl, 1804, Gulf Shores, AL 36542-8314 | 2016-10-18 |
| 1700332657 | Grace Therapeutic & Counseling Services Inc | Psychologist | 7 East 13th St Suite 225, Anniston, AL 36201 | 2016-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MARIEL LAKEITHA CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.