HOLLY MICHELLE CLARK (NPI# 1346453727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346453727 |
Entity Type | Individual |
Full Name | HOLLY MICHELLE CLARK |
Credential | M.D. |
Practice Address |
410 University Parkway Suite 2300 Aiken SC 29801-6807 |
Practice Telephone | 8033351219 |
Practice Fax Number | 8033351689 |
Mailing Telephone | 8033351219 |
Mailing Fax Number | 8033351689 |
Enumeration Date | 2007-05-08 |
Last Update Date | 2015-11-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
33738 | SC | Allopathic & Osteopathic Physicians |
N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
RTP001859 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 337380 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962667816 | Holly Ann Clark | Physical Therapist | 5300 Northgate Dr, Bethlehem, PA 18017-9436 | 2008-07-21 |
1629256185 | Holly Ann Clark | Counselor | 220 E First Ave Extension, Lexington, NC 27292 | 2008-02-07 |
1205823093 | Holly A Clark | Nurse Practitioner | 2320 High St, Blue Island, IL 60406-2426 | 2005-10-05 |
1437623980 | Holly Clark | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
1538630223 | Holly Lyn Clark | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2018-12-06 |
1427539568 | Holly Clark | Pharmacist | 110 S 9th Ave, Yakima, WA 98902-3315 | 2018-08-27 |
1750732285 | Holly Marie Clark | Dentist | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2016-06-27 |
1689807349 | Holly D. Clark | Case Manager/Care Coordinator | 2100 Comer Ave, Columbus, GA 31904-8725 | 2009-08-28 |
1447409446 | Holly Heist Meskimen Clark | Physician Assistant | 115 Sunnyside Ave, Granger, WA 98932 | 2008-09-15 |
1376639047 | Holly Clark | Internal Medicine | 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1348 | 2006-10-04 |
Street Address |
410 UNIVERSITY PARKWAY SUITE 2300 |
City | AIKEN |
State | SC |
Zip Code | 29801-6807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841261526 | Edwin Victor Martinez De Andino | Internal Medicine | 410 University Parkway, Suite 1000, Aiken, SC 29801 | 2006-01-30 |
1104951060 | Cynthia Foster Motycka | Counselor | 410 University Parkway, Suite 2300, Aiken, SC 29801-6807 | 2007-02-22 |
1164440020 | Robert Daniel Boone | Obstetrics & Gynecology | 410 University Parkway, Ste 1550, Aiken, SC 29801 | 2006-07-18 |
1417975376 | James Francis Boehner | Obstetrics & Gynecology | 410 University Parkway, Suite 1550, Aiken, SC 29801 | 2006-07-18 |
1134147564 | Andreina Dodson Angle | Nurse Practitioner | 410 University Parkway, Suite 1550, Aiken, SC 29801 | 2006-07-17 |
1851319297 | Oletha Rosina Minto | Obstetrics & Gynecology | 410 University Parkway, Suite 1550, Aiken, SC 29801 | 2006-07-17 |
1164476479 | Michelle M. Lyon | Psychiatry & Neurology | 410 University Parkway, Suite 1000, Aiken, SC 29801 | 2006-05-20 |
1023078011 | Kevin Allen Ard | Specialist/Technologist | 410 University Parkway, Suite 1000, Aiken, SC 29801 | 2006-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
Find all providers in zip 29801 |
Taxonomy Code | 2084P0015X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychosomatic Medicine |
Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558484345 | Joel P. Sussman | Psychiatry & Neurology | 245 Business Park Boulevard, Columbia, SC 29203 | 2007-04-09 |
1841412061 | Center for Behavioral Health LLC | Psychiatry & Neurology | 182 Laurelhurst Ave, Columbia, SC 29210-3824 | 2007-05-03 |
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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.