DR. DEBORAH CHRISTMAN CLARK (NPI# 1124347224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124347224 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH CHRISTMAN CLARK |
| Other Name | DEBORAH ANN CHRISTMAN |
| Credential | PH.D. |
| Practice Address |
1615 Hill Rd Suite 10 Novato CA 94947-4340 |
| Practice Telephone | 4158931983 |
| Mailing Telephone | 4158931983 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 18051 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679034789 | Deborah Faye Clark | Social Worker | 3006 E Cherry St, Seattle, WA 98122-5036 | 2019-03-29 |
| 1952612459 | Deborah J Clark | Midwife | 132 Edgewood Dr, New Holland, PA 17557-9355 | 2010-06-29 |
| 1245552579 | Deborah D Clark | Counselor | 66 Preston St, Unit 10, Hillsboro, NH 03244-5340 | 2010-03-01 |
| 1801935424 | Deborah Wilson Clark | Audiologist-Hearing Aid Fitter | 3555 Alameda De Las Pulgas, Ste 1, Menlo Park, CA 94025-6509 | 2007-02-06 |
| 1952457616 | Deborah Clark | Counselor | 501 Mammoth Rd, Unit1, Londonderry, NH 03053-2309 | 2007-01-26 |
| 1396729331 | Deborah A Clark | Nurse Practitioner | 3 Essex Green Dr, Peabody, MA 01960-2913 | 2005-12-02 |
| 1013535194 | Deborah Neir Clark | Pharmacist | 2200 Sparkman Dr Nw, Huntsville, AL 35810-3820 | 2020-07-06 |
| 1093279523 | Deborah Clark | Pharmacist | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2019-01-29 |
| 1033536792 | Deborah Clark | Counselor | 410 S Angle St, Mount Joy, PA 17552-2031 | 2014-03-19 |
| 1558703538 | Deborah Jean Clark | Specialist | 3 Elmwood Rd, Hancock, NH 03449-5629 | 2013-07-19 |
| Street Address |
1615 HILL RD SUITE 10 |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891771325 | Jeffrey Thomas Amen | Podiatrist | 1615 Hill Rd, Ste E, Novato, CA 94947-4338 | 2005-12-16 |
| 1063762276 | Randall H Chapman Md A Professional Corporation | Specialist | 1615 Hill Rd, Suite #8, Novato, CA 94947-4340 | 2012-09-14 |
| 1003171638 | Audiology Associates | Clinic/Center | 1615 Hill Rd, Suite 9, Novato, CA 94947-4340 | 2012-07-10 |
| 1922208834 | Melanie Johnson | Psychologist | 1615 Hill Rd, Suite 18, Novato, CA 94947-4340 | 2007-07-19 |
| 1558576108 | Redwood Sleep Center Inc. | Legal Medicine | 1615 Hill Rd, Suite 16, Novato, CA 94947-4340 | 2007-05-14 |
| 1033256227 | Dallas Hale Hickle | Dentist | 1615 Hill Rd, Ste. 12, Novato, CA 94947-4340 | 2007-01-30 |
| 1407911886 | Nader Mehra Vafaie | Dentist | 1615 Hill Rd, Suite #19, Novato, CA 94947-4340 | 2006-12-26 |
| 1912065814 | Rebecca Lynn Kuga | Marriage & Family Therapist | 1615 Hill Rd, Suite G, Novato, CA 94947-4340 | 2006-12-04 |
| 1114093853 | Randall H Chapman | Ophthalmology | 1615 Hill Rd, Suite 8, Novato, CA 94947 | 2006-11-27 |
| 1497824122 | Leahn Janette Huffman | Dentist | 1615 Hill Rd, Ste 3, Novato, CA 94947 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710338959 | Stephanie A King | Psychologist | 405 Enfrente Rd Ste 220, Novato, CA 94949-7201 | 2016-06-29 |
| 1629451703 | Big Dog Counseling, Inc. | Psychologist | 1683 Novato Blvd, Suite 1b, Novato, CA 94947-3200 | 2015-07-07 |
| 1255670311 | Nobuko Hattori | Psychologist | 7428 Redwood Blvd Ste 203, Novato, CA 94945-2419 | 2013-02-11 |
| 1467701649 | Sequoia Behavioral Health | Psychologist | 10 Jackson Ct, Novato, CA 94947-5532 | 2012-09-05 |
| 1104152206 | Edmund Bourne | Psychologist | 32 Curlew Way, Novato, CA 94949-6614 | 2009-10-23 |
| 1457569394 | Michele Saloner | Psychologist | 690 De Long Ave, Suite 150, Novato, CA 94945-3359 | 2007-05-21 |
| 1851437214 | Grace W Rogers | Psychologist | 250 Bel Marin Keys, #c5, Novato, CA 94949-5708 | 2007-01-30 |
| 1669920286 | Barbara Murphy | Psychologist | 1025 5th St, Novato, CA 94945-2413 | 2016-09-12 |
| 1821302191 | Joy Ann Fillman | Psychologist | 250 Bel Marin Keys Blvd, Suite B3, Novato, CA 94949-5707 | 2010-07-29 |
| 1447480140 | Andrea Marie Pinkerton | Psychologist | 505 San Marin Dr, Ste A150, Novato, CA 94945-1357 | 2009-07-16 |
| Find all providers in NOVATO | ||||
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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.