DR. KATHLEEN JEAN CLARK (NPI# 1073736021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073736021 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN JEAN CLARK |
| Credential | EDD NCPSYA |
| Practice Address |
1235 Pine St Philadelphia Mental Health Center Philadelphia PA 19107-5945 |
| Practice Telephone | 2157359379 |
| Practice Fax Number | 2156774790 |
| Mailing Telephone | 2157359379 |
| Mailing Fax Number | 2156774790 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 102L00000X | Psychoanalyst | Behavioral Health & Social Service Providers | ||
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043677446 | Kathleen Clark | Specialist/Technologist | 221 Lynnhaven Dr, North Syracuse, NY 13212-2025 | 2016-01-15 |
| 1407290364 | Kathleen Mary Clark | Registered Nurse | 2800 Ashland Rd, Columbia, SC 29210-5010 | 2013-04-23 |
| 1518103886 | Kathleen Anne Clark | Internal Medicine | 5701 Time Square Blvd Ste 220, Amarillo, TX 79119-1178 | 2008-12-16 |
| 1114176328 | Kathleen Clark Clark | Speech-Language Pathologist | 2675 State Route 28, Thendara, NY 13472-0007 | 2008-09-11 |
| 1740276906 | Kathleen M. Clark | Social Worker | 3724 Jefferson St, Suite 206, Austin, TX 78731-6221 | 2005-09-23 |
| 1043204993 | Kathleen M Clark | Chiropractor | 209 Commercial St, Hartland, ME 04943-3710 | 2005-09-07 |
| 1174515829 | Kathleen A Clark | Physical Therapist | 2700 Keslinger Road, Suite C, Geneva, IL 60134-4645 | 2005-08-18 |
| 1174182281 | Kathleen A Clark | Nurse Practitioner | 1365 Westgate Center Dr Ste G1, Winston Salem, NC 27103-2980 | 2019-06-12 |
| 1376013235 | Kathleen Margaret Clark | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-0216 | 2018-12-04 |
| 1831664416 | Kathleen M Clark | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2018-10-10 |
| Street Address |
1235 PINE ST PHILADELPHIA MENTAL HEALTH CENTER |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306987706 | Ademola Maroof Owodunni | Social Worker | 1235 Pine St, Philadelphia, PA 19107-5945 | 2007-02-09 |
| 1710409313 | Austin Saiz | Counselor | 1235 Pine St, Philadelphia, PA 19107-5945 | 2017-07-14 |
| 1346790789 | Luceann M Hitchman | Social Worker | 1235 Pine St, Philadelphia, PA 19107-5945 | 2016-10-10 |
| 1205293024 | Stevie French | Counselor | 1235 Pine St, Philadelphia, PA 19107-5945 | 2016-01-25 |
| 1134518269 | Raymond Thomas Evans Jr. | Counselor | 1235 Pine St, Philadelphia, PA 19107-5945 | 2015-01-13 |
| 1720476898 | Nadia Darbouze | Social Worker | 1235 Pine St, Philadelphia, PA 19107-5945 | 2014-12-24 |
| 1366841298 | Jessica Henninger | Counselor | 1235 Pine St, Philadelphia, PA 19107-5945 | 2014-08-15 |
| 1487942355 | Peter Joseph Tappon | Social Worker | 1235 Pine St, Philadelphia, PA 19107-5945 | 2011-07-13 |
| 1972801686 | Ifeanyi Azubuike | Social Worker | 1235 Pine St, Philadelphia, PA 19107-5945 | 2011-03-03 |
| 1720386626 | Anthony Russo | Behavioral Analyst | 1235 Pine St, Philadelphia, PA 19107-5945 | 2011-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 102L00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychoanalyst |
| Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst’s training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation. |
| Notes: Source: Registry of Psychoanalysts published by the National Association for the Advancement of Psychoanalysis [1/1/2007: new; 7/1/2007: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477022127 | Patricia Gherovici | Psychoanalyst | 420 S 17th St, Philadelphia, PA 19146-1555 | 2018-11-23 |
| 1952760332 | Rachel M Braun | Psychoanalyst | 20 E Herman St # 103, Philadelphia, PA 19144-2040 | 2016-02-15 |
| 1851689582 | Wolfram Rieger | Psychoanalyst | 2400 Chestnut St Apt 1508, Philadelphia, PA 19103-4319 | 2011-07-15 |
| 1194023655 | Jenna Amoroso | Psychoanalyst | 1243 E Susquehanna Ave, 2f, Philadelphia, PA 19125-3436 | 2011-03-08 |
| 1801021639 | Barbara N. Smith | Psychoanalyst | 135 S 19th St Ste 340, Philadelphia, PA 19103-4912 | 2009-05-22 |
| 1700237203 | David Lee Md LLC | Psychoanalyst | 1420 Walnut St, Suite 1412, Philadelphia, PA 19102-4017 | 2016-06-26 |
| 1821372459 | Angela Mary Sandone-barr | Psychoanalyst | 313 S 16th St, Philadelphia, PA 19102-4908 | 2011-09-30 |
| 1699076679 | John L Frank | Psychoanalyst | 3900 City Ave, D-108, Philadelphia, PA 19131-2908 | 2010-11-08 |
| 1689837296 | West Philadelphia Community Mental Health Consortium Inc. | Psychoanalyst | 2020 Pennsylvania Ave, Philadelphia, PA 19130-3832 | 2008-07-03 |
| 1669640298 | Herbert M. Adler Associates PC | Psychoanalyst | 1015 Chestnut St, Suite 1000, Philadelphia, PA 19107-4316 | 2008-02-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.