DR. SHEILA JOYCE CLARK (NPI# 1053443531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053443531 |
Entity Type | Individual |
Full Name | DR. SHEILA JOYCE CLARK |
Credential | M.D. |
Practice Address |
207 E Northern Lights Blvd Ste 111 Anchorage AK 99503-2728 |
Mailing Address |
31815 Eagle River Rd Eagle River AK 99577-9750 |
Practice Telephone | 9072721892 |
Practice Fax Number | 9072720962 |
Mailing Telephone | 9076965766 |
Enumeration Date | 2007-03-11 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2823 | AK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | MD84482 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356900773 | Sheila Marie Clark | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2019-06-10 |
1497213946 | Sheila A Clark | Counselor | 30200 Telegraph Rd Ste 106, Bingham Farms, MI 48025-4503 | 2019-03-04 |
1659895696 | Sheila Renee Clark | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2017-08-01 |
1407271307 | Sheila Green Clark | Mastectomy Fitter | 1028 Atkinson St, Laurinburg, NC 28352-4721 | 2014-02-28 |
1073875704 | Sheila Bridget Clark | Registered Nurse | 204 E Walnut St, Perkasie, PA 18944-1636 | 2012-06-08 |
1720094253 | Sheila Renee Clark | Speech-Language Pathologist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2006-08-01 |
Street Address |
207 E NORTHERN LIGHTS BLVD STE 111 |
City | ANCHORAGE |
State | AK |
Zip Code | 99503-2728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073689717 | Victoria Ann Blower | Optometrist | 207 E Northern Lights Blvd, Ste 101, Anchorage, AK 99503-2730 | 2006-11-27 |
1831745207 | Darby Milburn | Behavior Technician | 207 E Northern Lights Blvd, Anchorage, AK 99503-2731 | 2019-08-12 |
1033774260 | Katiebeth Hills | Behavior Technician | 207 E Northern Lights Blvd, Anchorage, AK 99503-2731 | 2019-05-02 |
1134530835 | Benjamin Crawford LLC | Optometrist | 207 E Northern Lights Blvd, Suite 101, Anchorage, AK 99503-2731 | 2014-05-15 |
1598033425 | Life Journey, LLC | Counselor | 207 E Northern Lights Blvd, Suite 207, Anchorage, AK 99503-2731 | 2011-12-06 |
1770867574 | Alexandra J Lorian | Counselor | 207 E Northern Lights Blvd, Suite 207, Anchorage, AK 99503-2731 | 2011-09-29 |
1609169978 | Victoria Ann Blower | Eyewear Supplier (Equipment, not the service) | 207 E Northern Lights Blvd, Suite 101, Anchorage, AK 99503-2731 | 2011-05-19 |
1871899807 | Benjamin Drew Crawford | Optometrist | 207 E Northern Lights Blvd, #101, Anchorage, AK 99503-2731 | 2011-02-09 |
1417268632 | Lucy N Mahan | Counselor | 207 E Northern Lights Blvd, #208, Anchorage, AK 99503-2731 | 2010-06-23 |
1285865741 | Transitional Counseling | Counselor | 207 E Northern Lights Blvd, Anchorage, AK 99503-2731 | 2009-08-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
Find all providers in zip 99503 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
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. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750988549 | Daniel J Mardones Md Inc | Psychiatry & Neurology | 2523 Debarr Road, Anchorage, AK 99508-2948 | 2020-10-05 |
1639496243 | Kelton Manor Thomas | Psychiatry & Neurology | 5855 Zeamer Ave, Anchorage, AK 99506 | 2010-04-23 |
1275665085 | Phillip Neuberger | Psychiatry & Neurology | 3201 C St, Suite 302, Anchorage, AK 99503-3917 | 2007-03-09 |
1033263439 | Michael D Robertson | Psychiatry & Neurology | 1709 Bragaw St, Suite A, Anchorage, AK 99508-3436 | 2007-01-22 |
1780793448 | Alina Nicole Schneider | Psychiatry & Neurology | 1650 South Bragaw Street, Anchorage, AK 99508 | 2006-08-29 |
1982625596 | Lina Judith Bautista | Psychiatry & Neurology | 2800 Providence Dr, Anchorage, AK 99508-4623 | 2006-07-21 |
1194705475 | Daniel Mardones | Psychiatry & Neurology | 2530 Debarr Rd, Anchorage, AK 99508-2948 | 2006-01-20 |
1770583932 | Claudia Berenson | Psychiatry & Neurology | 4001 Dale St Ste 101, Anchorage, AK 99508-5444 | 2005-07-28 |
1285055731 | Baisi Psychiatric Services LLC | Psychiatry & Neurology | 2530 Debarr Rd, Anchorage, AK 99508-2948 | 2013-12-31 |
1013296755 | Frontier Health Services, P.C. | Psychiatry & Neurology | 4241 B Street, Suite 305, Anchorage, AK 99503 | 2011-08-12 |
Find all providers in ANCHORAGE |
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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.