CLARK PSYCHOLOGICAL ASSOCIATES (NPI# 1437394103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437394103 |
| Entity Type | Organization |
| Organization Name | CLARK PSYCHOLOGICAL ASSOCIATES |
| Practice Address |
3196 Parliament Circle Montgomery AL 36116-0000 |
| Mailing Address |
9571 Winfield Pl Montgomery AL 36117-5157 |
| Practice Telephone | 3343007021 |
| Mailing Telephone | 3343007021 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | DR. DANIEL C CLARK (OWNER) |
| Authorized Official Telephone | 3343007021 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1076 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI - PERSONAL ISSUED TO DR. CLARK | 1225093891 | 01 |
| Street Address |
3196 PARLIAMENT CIRCLE |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912290552 | Karen Dotrice Harrison-hollinger | Psychologist | 5318 Rexford Ct, Montgomery, AL 36116-1109 | 2011-05-16 |
| 1902968795 | Glen D King | Psychologist | 1520 Mulberry St, Montgomery, AL 36106-1520 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361745 | Narrow Road Counseling, PC | Psychologist | 27695 Us Highway 98, Daphne, AL 36526-4816 | 2020-09-22 |
| 1538503354 | Ejm Learning Solutions, Inc. | Psychologist | 4851 Cahaba River Road, Suite 129, Vestavia Hills, AL 35243 | 2013-04-23 |
| 1477789568 | Elizabeth Brestan Knight | Psychologist | 226 Thach, Department of Psychology, Auburn, AL 36849-0001 | 2009-06-03 |
| 1043485543 | C Van Rosen Phd PC | Psychologist | 28980 Hwy 98, Suite 1, Daphne, AL 36526-7283 | 2008-04-25 |
| 1063696862 | David Ziskind | Psychologist | 309 Montevallo Ct, Mobile, AL 36608-3011 | 2007-12-28 |
| 1861510117 | Kristi Nicole Hubbard | Psychologist | 656 Maples Ln, New Hope, AL 35760-9698 | 2007-03-26 |
| 1497811798 | Angelynne Amick Mcmullan | Psychologist | 300 Vestavia Office Park, Suite 3200, Birmingham, AL 35216-3753 | 2006-12-29 |
| 1336515873 | Jan Larae Everhart Newman | Psychologist | 248 E Glenn Ave, Auburn, AL 36830-4818 | 2015-08-19 |
| 1811309479 | Lauren Maloney | Psychologist | 3504 Vann Rd, Suite 100, Birmingham, AL 35235-3221 | 2014-05-29 |
| 1275701955 | James P. Gardepe | Psychologist | 915 Willowbrook Dr Se, Suite C, Huntsville, AL 35802-3262 | 2008-02-14 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
Please comment or provide details below to improve the information on CLARK PSYCHOLOGICAL ASSOCIATES.
| 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.