MICHAEL SCOTT CLARK (NPI# 1184785701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184785701 |
| Entity Type | Individual |
| Full Name | MICHAEL SCOTT CLARK |
| Credential | M.D. |
| Practice Address |
13815 Professional Center Dr Ste 100 Huntersville NC 28078-7951 |
| Mailing Address |
2102 Rolling Rd Greensboro NC 27403-1535 |
| Practice Telephone | 7043841320 |
| Mailing Telephone | 3363789425 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35611 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35611 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8922671 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 211 S Centennial St, High Point, NC 272605215 | 3368457946 | 3368457601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| Street Address |
13815 PROFESSIONAL CENTER DR STE 100 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-7951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417313982 | Kelly Marie Harris | Counselor | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078 | 2016-01-13 |
| 1003254806 | Suja Raju | Psychiatry & Neurology | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078-7951 | 2013-06-13 |
| 1023365756 | Carolyn A. Souders | Social Worker | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078-7951 | 2012-08-13 |
| 1679861041 | Stacey Ann Griffeth | Social Worker | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078-7951 | 2011-07-19 |
| 1467748426 | Heather Anne Laughridge | Psychiatry & Neurology | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078 | 2011-06-28 |
| 1659699429 | Allison Amber Dejarnatt | Nurse Practitioner | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078 | 2010-05-04 |
| 1124355045 | Patsy Mcmillan Shinn | Counselor | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078 | 2009-11-13 |
| 1568636868 | Jaren Donnell Doby | Counselor | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078 | 2008-04-17 |
| 1114125929 | Louise Davis Maynor | Counselor | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078-7951 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831363712 | Craig Thomas Morgan Chepke | Psychiatry & Neurology | 10225 Hickorywood Hill Ave Ste B, Huntersville, NC 28078-3431 | 2008-04-22 |
| 1679643944 | Insight Psychiatry, Inc. | Psychiatry & Neurology | 13123 Rosedale Hill Ave, Huntersville, NC 28078-3329 | 2006-11-08 |
| 1407306194 | Novant Medical Group, Inc | Psychiatry & Neurology | 13815 Professional Center Dr, Suite 100 and 200, Huntersville, NC 28078-7951 | 2016-10-06 |
| 1003254806 | Suja Raju | Psychiatry & Neurology | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078-7951 | 2013-06-13 |
| 1467748426 | Heather Anne Laughridge | Psychiatry & Neurology | 13815 Professional Center Dr Ste 100, Huntersville, NC 28078 | 2011-06-28 |
| 1144534942 | Novant Medical Group Inc | Psychiatry & Neurology | 16525 Holly Crest Ln, Suite 210, Huntersville, NC 28078-4912 | 2010-08-04 |
| 1578633863 | Robin Leigh Stone | Psychiatry & Neurology | 13123 Rosedale Hill Ave, Huntersville, NC 28078-3329 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851696 | Cana Psychiatric Health | Psychiatry & Neurology | 1846 E Innovation Park Dr #100, Oro Valley, NC 27502-2750 | 2020-11-04 |
| 1750999876 | Integral Mental Healthcare Pllc | Psychiatry & Neurology | 1105 Walnut St Ste F-16031, Cary, NC 27511-4762 | 2020-07-14 |
| 1740808096 | Best Day Psychiatry and Counseling, PC | Psychiatry & Neurology | 4905 Pine Cone Dr Ste 9, Durham, NC 27707-5258 | 2020-07-13 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1639792245 | Summit Health Psychiatry, PC | Psychiatry & Neurology | 226 Shannon Rd, Hendersonville, NC 28791-8739 | 2020-05-19 |
| 1083240592 | Sabrina Michelle Campbell | Psychiatry & Neurology | 1601 Brenner Ave Bldg 8-1, Salisbury, NC 28144-2515 | 2020-03-16 |
| 1457986416 | Benjamin Boris Brodey | Psychiatry & Neurology | 201 E Rosemary St, Chapel Hill, NC 27514-3529 | 2020-03-10 |
| 1538794276 | Carolina Psychiatry Center, Pllc | Psychiatry & Neurology | 301 Keisler Dr Ste A, Cary, NC 27518-7018 | 2020-03-03 |
| 1568002608 | Avant Medical Consulting Pllc | Psychiatry & Neurology | 109 Rosegarten Ct, New Bern, NC 28562-1016 | 2020-01-07 |
| 1518503994 | Mental Health Associates and Addiction | Psychiatry & Neurology | 1944 Hendersonville Rd # D-1a, Asheville, NC 28803-2351 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
Please comment or provide details below to improve the information on MICHAEL SCOTT CLARK.
| 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.