MR. THOMAS EDWARD CLARK (NPI# 1053558205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053558205 |
| Entity Type | Individual |
| Full Name | MR. THOMAS EDWARD CLARK |
| Credential | LMFT, LMFT |
| Practice Address |
980 Western Avenue Albany NY 12202 |
| Practice Telephone | 5186620621 |
| Mailing Telephone | 5186620621 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2014-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 56783 | CA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MFT INTERN NUMBER | 56783 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669096020 | Thomas Edward Clark | Optometrist | 3672 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7172 | 2020-06-02 |
| 1861053811 | Thomas J Clark | Massage Therapist | 16615 North Rd Unit B, Bothell, WA 98012-5983 | 2019-06-20 |
| 1922417005 | Thomas Boyle Clark IIi | Pathology | 3619 Pacific Ave, Tacoma, WA 98418-7921 | 2014-08-04 |
| 1255593273 | Thomas James Clark | Licensed Practical Nurse | 8703 Shear Dr, Powell, OH 43065-8835 | 2008-06-30 |
| 1508044181 | Thomas B Clark | Chiropractor | 2092 Casa De Vereda, Vista, CA 92084-4223 | 2008-02-05 |
| 1306061502 | Thomas Lyon Clark | Psychologist | 1515 Payne St, Tallahassee, FL 32303-5796 | 2007-04-16 |
| 1487877213 | Thomas R Clark | Chiropractor | 2418 W 9th Ave, Amarillo, TX 79106-6620 | 2007-04-10 |
| 1023157153 | Thomas Clark | Dentist | 4402 Airline Dr, Houston, TX 77022-2934 | 2007-02-05 |
| 1972649499 | Thomas Colin Clark | Physical Therapist | 7111 E 21st St N Ste 103, Wichita, KS 67206 | 2007-01-30 |
| 1720133671 | Thomas David Clark | Optometrist | 1401 N Green River Rd, Evansville, IN 47715-2428 | 2007-01-23 |
| Street Address |
980 WESTERN AVENUE |
| City | ALBANY |
| State | NY |
| Zip Code | 12202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497282131 | Beth Laddin | Social Worker | Thomas O'brien Academy of Science and Technology School, Lincoln Park/ Delaware Ave, Albany, NY 12202 | 2017-05-12 |
| 1326448275 | Trinity Alliance of The Capital Region | Substance Abuse Rehabilitation Facility | 3 Lincoln Square, Albany, NY 12202 | 2014-08-28 |
| 1609992478 | Margaret E Priola | Registered Nurse | 326 So Pearl Street, St. Peter's Family Health Center, Albany, NY 12202 | 2007-03-22 |
| 1770637092 | City School District of Albany | Local Education Agency (LEA) | 1 Academy Park, Elk Street, Albany, NY 12202 | 2007-01-23 |
| 1023533460 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 310 S Pearl St, Albany, NY 12202 | 2017-08-07 |
| 1952821118 | Helen Theresa Mcdonald | Family Medicine | 326 S Pearl St, Albany, NY 12202 | 2017-06-20 |
| 1619320686 | Elizabeth Carcich | Social Worker | 260 South Pearl Street, Albany, NY 12202 | 2016-07-14 |
| 1295091114 | Juan Jose Santacruz | Counselor | 64 2nd Avenue, Albany, NY 12202 | 2012-04-04 |
| 1619307535 | Karen Johnson-williams | Social Worker | 105 Mount Hope Dr, Albany, NY 12202-1009 | 2013-11-13 |
| 1740357995 | Center for Disablity Services | Non-emergency Medical Transport (VAN) | 700 S Pearl St, Albany, NY 12202-1013 | 2006-11-30 |
| Find all providers in zip 12202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1770196263 | Caroline De Bie | Student in an Organized Health Care Education/Training Program | 305 W End Way Apt 103, Albany, CA 94706-2558 | 2020-08-25 |
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1124648183 | Isis Marlene Topete | Student in an Organized Health Care Education/Training Program | 300 Gooding Way Apt 341, Albany, CA 94706-1950 | 2020-04-20 |
| 1851910632 | Dorneshia Thomas | Student in an Organized Health Care Education/Training Program | 2 Clara Barton Dr # Mc-164, Albany, NY 12208-3472 | 2020-04-13 |
| 1396374252 | Megala Sankrith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Surgery, Albany, NY 12208-3412 | 2020-04-03 |
| 1285263160 | Patrick Jia Huang | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopaedics, Albany, NY 12208-3412 | 2020-04-03 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1699303933 | Khushboo Khan | Student in an Organized Health Care Education/Training Program | 52 Schoolhouse Rd, Albany, NY 12203-3850 | 2020-03-31 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| Find all providers in ALBANY | ||||
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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.