MATTHEW WILLIAM CLARKE (NPI# 1174894976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174894976 |
| Entity Type | Individual |
| Full Name | MATTHEW WILLIAM CLARKE |
| Practice Address |
1989 Vicente Dr San Luis Obispo CA 93405-6863 |
| Mailing Address |
2178 Johnson Ave San Luis Obispo CA 93401-4535 |
| Practice Telephone | 8057814179 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2016-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053797134 | Matthew Clarke | Physical Therapist | 13819 48th Dr Se, Snohomish, WA 98296-8970 | 2015-07-30 |
| 1528121753 | Matthew Alan Theophilus Clarke | Family Medicine | 3051 36th St, Astoria, NY 11103-4704 | 2006-12-19 |
| 1447698410 | Matthew Clarke | Optometrist | 850 W Empire Mall, Sioux Falls, SD 57106-6512 | 2013-06-12 |
| 1528315835 | Matthew E.a. Clarke | Internal Medicine | 1868 Pacific Ave, Long Beach, CA 90806-6113 | 2012-08-07 |
| 1497912877 | Matthew G Clarke | Orthopaedic Surgery | 11760 Bird Rd, Suite 722, Miami, FL 33175-3582 | 2008-05-21 |
| Street Address |
1989 VICENTE DR |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-6863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306855630 | Gina Marie Forgette | Social Worker | 1989 Vicente Dr, #a, San Luis Obispo, CA 93405-6863 | 2006-08-05 |
| 1619527496 | Shelley Theresa Bailey | Registered Nurse | 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 | 2019-09-13 |
| 1386180628 | Mayra Gricel Lopez | Social Worker | 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 | 2017-01-10 |
| 1962727792 | Nicole Schallberger | Marriage & Family Therapist | 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 | 2010-04-05 |
| 1730384231 | Carolina Anne Van Stone | Counselor | 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 | 2007-06-15 |
| 1346444775 | Patti Tackett | Marriage & Family Therapist | 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 | 2007-06-11 |
| 1144360538 | William Anthony Clarke | Marriage & Family Therapist | 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 | 2007-02-07 |
| 1912057167 | Katherine Lillian Mcgregor | Marriage & Family Therapist | 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 | 2007-01-11 |
| 1952465114 | Denise M Egan | Marriage & Family Therapist | 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 | 2006-12-21 |
| 1568523819 | Enn Mannard | Psychiatry & Neurology | 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245868769 | Michael Mazzella | Marriage & Family Therapist | 1190 Marsh St Ste E, San Luis Obispo, CA 93401-3332 | 2020-03-30 |
| 1669005609 | Serena Jade Andrews | Marriage & Family Therapist | 1461 Higuera St Ste C, San Luis Obispo, CA 93401-2948 | 2020-02-18 |
| 1437655529 | Pamela Suraci | Marriage & Family Therapist | 3591 Sacramento Dr Ste 116, San Luis Obispo, CA 93401-7256 | 2018-04-05 |
| 1588174999 | Erin Lynn Lindvall | Marriage & Family Therapist | 895 Aerovista Pl Ste 106, San Luis Obispo, CA 93401-8725 | 2017-10-11 |
| 1053859116 | Julie Messer | Marriage & Family Therapist | 697 Higuera St, Suite D, San Luis Obispo, CA 93401-3544 | 2017-02-08 |
| 1013465210 | Pamela Kremza | Marriage & Family Therapist | 508 Higuera St, San Luis Obispo, CA 93401-3835 | 2016-09-15 |
| 1467805333 | Shelley Triggs | Marriage & Family Therapist | 1264 Higuera St Ste 100, San Luis Obispo, CA 93401-3171 | 2016-07-15 |
| 1225485147 | Melissa Carol Campe | Marriage & Family Therapist | 3392 Rockview Pl, Apt #1, San Luis Obispo, CA 93401-6787 | 2016-05-20 |
| 1194187369 | Stephanie Baisa Wilson | Marriage & Family Therapist | 1190 Marsh St Ste A, San Luis Obispo, CA 93401-3332 | 2016-03-25 |
| 1134500192 | Anne Appel | Marriage & Family Therapist | 1461 Higuera Street, Suite B, San Luis Obispo, CA 93401-3722 | 2015-06-16 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
Please comment or provide details below to improve the information on MATTHEW WILLIAM CLARKE.
| 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.