AMY M CLARK (NPI# 1033527403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033527403 |
| Entity Type | Individual |
| Full Name | AMY M CLARK |
| Credential | PMHNP |
| Practice Address |
115 Mill St Belmont MA 02478-1064 |
| Practice Telephone | 6178552578 |
| Practice Fax Number | 6178553738 |
| Mailing Telephone | 6178552578 |
| Mailing Fax Number | 6178553738 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2266004 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640085 | Amy Clark | Nurse Practitioner | 1641 Highway 19e Byp, Elizabethton, TN 37643-4646 | 2014-05-01 |
| 1386988194 | Amy J. Clark | Registered Nurse | 731 18th Ave, San Francisco, CA 94121-3824 | 2012-11-16 |
| 1104121318 | Amy Beth Clark | Nurse Practitioner | 5197 Georgetown Rd, Franklin, PA 16323-4807 | 2011-01-19 |
| 1568766756 | Amy Sue Clark | Speech-Language Pathologist | 6 Erica Ct, Pueblo, CO 81001-1074 | 2011-01-02 |
| 1124328570 | Amy Leigh Clark | Social Worker | 1950 Trenton St, #412, Denver, CO 80220-2064 | 2010-11-01 |
| 1437461191 | Amy J Clark | Speech-Language Pathologist | 3609 Western Ave, Mattoon, IL 61938-2040 | 2010-07-10 |
| 1215257498 | Amy Clark | Occupational Therapy Assistant | 2770 Juniper Dr, Batesville, AR 72501-7801 | 2010-06-10 |
| 1881818656 | Amy Elizabeth Clark | Speech-Language Pathologist | 1027 Hiland St, Monticello, KY 42633-1370 | 2007-04-12 |
| 1023188018 | Amy Clark | Physical Therapist | 9381 East Stockton Blvd, Ste 108, Elk Grove, CA 95624 | 2006-11-08 |
| 1134236631 | Amy Clark | Physical Therapist | 506 Ne State Route 291, Lees Summit, MO 64086-2533 | 2006-08-23 |
| Street Address |
115 MILL ST |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454652 | Jacqueline Anne Samson | Psychologist | 115 Mill St, Belmont, MA 02478-1041 | 2005-06-01 |
| 1326647520 | Jacqueline Bullis | Psychologist | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-20 |
| 1578162707 | Caleb Zachary Demers | Social Worker | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-19 |
| 1083221428 | Noa Kupfer | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-29 |
| 1154936490 | Remy Sky Leutwyler | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-14 |
| 1699380295 | Denice Cronin | Psychologist | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-10 |
| 1033724851 | Amanda Sedgewick, Pllc | Clinic/Center | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-09 |
| 1013529015 | Miqveh Steinhart | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-20 |
| 1801407820 | Lindsay Amateis | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-13 |
| 1790395671 | Patrick Shanley | Social Worker | 115 Mill St, Mclean Hospital Mail Stop 106, Belmont, MA 02478 | 2020-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992760714 | Carey Margaret Martin | Nurse Practitioner | 300 Harbor Blvd Bldg E, Belmont, CA 94002-4018 | 2006-04-18 |
| 1265056527 | Middlesex Mental Health, LLC | Nurse Practitioner | 9 Alexander Ave, Belmont, MA 02478-4802 | 2020-06-02 |
| 1184199747 | Susan Maria Cullaty-purvis | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1048 | 2018-10-10 |
| 1205348752 | Edward Barton | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2017-10-24 |
| 1013370436 | Cassandra Marie Godzik | Nurse Practitioner | 115 Mill St, Mail Stop 336, Belmont, MA 02478-1064 | 2016-04-02 |
| 1871874222 | Katherine Frances Cederbaum | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2011-08-30 |
| 1689954893 | Karen Jennings | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2011-08-18 |
| 1841584299 | Theresa Maria Damien | Nurse Practitioner | 115 Mill St, Mclean Hospital, Belmont, MA 02486 | 2011-06-02 |
| 1922059781 | Vona Faye Davis | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1048 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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| 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.