MITCHELL CLARK (NPI# 1205307204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205307204 |
| Entity Type | Individual |
| Full Name | MITCHELL CLARK |
| Practice Address |
890 Hayes St San Francisco CA 94117-2615 |
| Practice Telephone | 4157015175 |
| Mailing Telephone | 4157015175 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578798278 | Mitchell Brady Clark | Counselor | 6160 Mission Gorge Rd Ste 120, San Diego, CA 92120-3425 | 2009-05-26 |
| 1669817854 | Mitchell Brent Clark | Obstetrics & Gynecology | 333 Cedar St., Yale Medical School, New Haven, CT 06510 | 2013-05-02 |
| Street Address |
890 HAYES ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417007865 | Peter Brian Fogel | Counselor | 890 Hayes St, San Francisco, CA 94117-2615 | 2007-01-10 |
| 1174138044 | Andrew Leifer | Student in an Organized Health Care Education/Training Program | 890 Hayes St, San Francisco, CA 94117-2615 | 2020-09-09 |
| 1891304903 | Justin Curtis Gabbert | Counselor | 890 Hayes St, San Francisco, CA 94117-2615 | 2020-07-24 |
| 1952936999 | Stephen Ray Benwell | Counselor | 890 Hayes St, San Francisco, CA 94117-2615 | 2020-03-10 |
| 1215577234 | Ralph Aaron Downs Iv | Counselor | 890 Hayes St, San Francisco, CA 94117-2615 | 2020-01-07 |
| 1609415389 | Salvador Junior Delgadillo | Counselor | 890 Hayes St, San Francisco, CA 94117-2615 | 2019-12-30 |
| 1720624059 | Daniel Esteban Pilpe | Counselor | 890 Hayes St, San Francisco, CA 94117-2615 | 2019-11-21 |
| 1871147389 | Alexandria Perez | Counselor | 890 Hayes St, San Francisco, CA 94117-2615 | 2019-08-01 |
| 1134772171 | Melba Elaine Smith | Counselor | 890 Hayes St, San Francisco, CA 94117-2615 | 2019-07-18 |
| 1558924027 | Joseph Atticus Morris | Counselor | 890 Hayes St, San Francisco, CA 94117-2615 | 2019-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1619581956 | Jamie Marion Brown | Counselor | 1233 Noriega St Apt 4, San Francisco, CA 94122-4455 | 2020-09-03 |
| 1154931970 | Dagmawit Aberham Negash I | Counselor | 1735 Mission St. San Francisco, Ca, San Francisco, CA 94103-2417 | 2020-08-06 |
| 1710503420 | Seville Christian | Counselor | 75 Dore St Apt 107, San Francisco, CA 94103-3892 | 2020-06-18 |
| 1326673773 | Jeffrey Douglas Washington | Counselor | 1040 Sutter St Apt 56, San Francisco, CA 94109-5833 | 2020-03-05 |
| 1801429253 | Domenique Marie Stern | Counselor | 1049 Market St Apt 603, San Francisco, CA 94103-1635 | 2020-02-13 |
| 1487123436 | Judith St Louis-schmidt | Counselor | 735 Taylor St # 208, San Francisco, CA 94108-3807 | 2018-11-20 |
| 1114405495 | Angela Christina Thomas | Counselor | 1633 Newcomb Ave, San Francisco, CA 94124-2318 | 2018-07-30 |
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1265923353 | Benjamin Adam Schaeffer | Counselor | 440 Potrero Ave Fl 2, San Francisco, CA 94110-1430 | 2018-05-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
Please comment or provide details below to improve the information on MITCHELL 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.