CLARK INSTITUTE (NPI# 1174665681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174665681 |
| Entity Type | Organization |
| Organization Name | CLARK INSTITUTE |
| Practice Address |
3303 Applewood Drive Freehold NJ 07728-4922 |
| Practice Telephone | 7324311514 |
| Practice Fax Number | 6093950120 |
| Mailing Telephone | 7324311514 |
| Mailing Fax Number | 6093950120 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-10-09 |
| Authorized Official Name | BARBARA J CLARK (PRESIDENT) |
| Authorized Official Telephone | 7324311514 |
| Authorized Official Credential | PHD, FAPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 182788 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NAAP | 83704 | 01 | |
| APH | 1706 | 01 | |
| ACH | 999012391 | 01 | |
| APSA | 106486 | 01 |
| Street Address |
3303 APPLEWOOD DRIVE |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881541 | Alexia M Konko | Psychologist | 495 Iron Bridge Rd Ste 12, Freehold, NJ 07728-5306 | 2020-08-13 |
| 1174962088 | Gina M Radice | Psychologist | 3499 Route 9 N Ste 2c, Freehold, NJ 07728 | 2013-06-24 |
| 1083838270 | Lucinda M Monica | Psychologist | 90 West Main St, 2nd Floor, Freehold, NJ 07728 | 2007-04-12 |
| 1386783058 | Stewart Edward Blum | Psychologist | 94 West Main Street, Advanced Psychological Services, Freehold, NJ 07728-2133 | 2007-02-06 |
| 1073696738 | Stanley M Mandel | Psychologist | 155 South St, Freehold, NJ 07728-2042 | 2006-10-23 |
| 1104837939 | Stanley Zebrowski | Psychologist | 4400 Us Highway 9, Suite 1000, Freehold, NJ 07728-1383 | 2006-08-10 |
| 1477568236 | Andrea Lynn Sollitto | Psychologist | 94 W Main St, Freehold, NJ 07728-2133 | 2006-07-30 |
| 1649291030 | Mark Flescher | Psychologist | 90 W Main St, Freehold, NJ 07728-2144 | 2006-07-21 |
| 1043852395 | Heather Marie Blumert | Psychologist | 509 Stillwells Corner Rd Ste 7, Freehold, NJ 07728-2965 | 2019-10-08 |
| 1073165510 | Jacqueline A Ramirez | Psychologist | 509 Stillwells Corner Rd, Freehold, NJ 07728-2965 | 2019-07-15 |
| Find all providers in FREEHOLD | ||||
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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.