DR. KRISTEN CLARK (NPI# 1447559455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447559455 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN CLARK |
| Credential | MD |
| Practice Address |
985 Cedar Bridge Ave Brick NJ 08723-4167 |
| Practice Telephone | 7324775600 |
| Mailing Telephone | 7324775600 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2015-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MA09430200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0429694 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447717111 | Kristen Marie Clark | Nurse Practitioner | 1724 W Beach Ave, Chicago, IL 60622-2108 | 2019-02-28 |
| 1598264475 | Kristen Clark | Non-emergency Medical Transport (VAN) | 252 American Spirit Rd, Winter Haven, FL 33880-8102 | 2018-02-07 |
| 1174959910 | Kristen Leigh Clark | Licensed Practical Nurse | 105 Edgewood Ave, Buffalo, NY 14220-1765 | 2013-09-25 |
| 1134385933 | Kristen M Clark | Audiologist | 26224 N Tatum Blvd Ste 14, Phoenix, AZ 85050-7500 | 2008-07-31 |
| 1528670502 | Kristen Clark | Speech-Language Pathologist | 2080 Citygate Dr, Columbus, OH 43219-3591 | 2020-08-20 |
| 1609488568 | Kristen Noelle Clark | Behavior Technician | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 | 2020-08-20 |
| 1023575891 | Kristen Clark | Specialist/Technologist | 537 Union Ave, Grants Pass, OR 97527-5543 | 2019-02-27 |
| 1750884508 | Kristen Clark | Occupational Therapist | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2018-03-16 |
| 1245769850 | Kristen Ann Clark | Physician Assistant | 15 Hospital Center Blvd Ste 1, Hilton Head Island, SC 29926-2760 | 2017-06-07 |
| 1336501964 | Kristen Clark | Nurse Practitioner | 3001 N Rocky Point Dr E, Suite 185, Tampa, FL 33607-5810 | 2016-03-23 |
| Street Address |
985 CEDAR BRIDGE AVE |
| City | BRICK |
| State | NJ |
| Zip Code | 08723-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730347212 | Kent C Fung | Family Medicine | 985 Cedar Bridge Ave, Brick, NJ 08723-4167 | 2008-05-30 |
| 1487006862 | Vijay Halari | Family Medicine | 985 Cedar Bridge Ave, Brick, NJ 08723-4167 | 2016-07-08 |
| 1134380314 | Sundip Kaur | Internal Medicine | 985 Cedar Bridge Ave, Brick, NJ 08723-4167 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437829 | Michael Gatto | Hearing Instrument Specialist | 2791 Hooper Ave, Brick, NJ 08723 | 2020-11-02 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982179875 | Enable, Inc. | Residential Treatment Facility, Physical Disabilities | 481 Herbertsville Road, Brick, NJ 08723 | 2018-10-08 |
| 1689154585 | Erica Beckenhauer | Physical Therapist | 909 Cedarbridge Avenue, Brick, NJ 08723 | 2018-08-20 |
| 1578059283 | Bricktowne Pharmacy LLC | Pharmacy | 101 Prosper Way, Unit C, Brick, NJ 08723 | 2018-07-05 |
| 1376045088 | Katie Lynn Hueth | Counselor | 74 Brick Blvd., Building 4, Suite 206b, Brick, NJ 08723 | 2018-03-08 |
| 1548786445 | Apmr Chiropractic | Chiropractor | 56 Chambers Bridge Road, Brick, NJ 08723 | 2017-08-22 |
| 1972050441 | Donna Francese | Counselor | 104 Teakwood Drive, Brick, NJ 08723 | 2016-09-01 |
| 1780130377 | Eastern Dental of Ocean/monmouth, LLC | Dentist | 2770 Hooper Ave., Unit 4, Brick, NJ 08723 | 2016-09-01 |
| 1073066700 | Garden State Smiles of Brick | Dentist | 525 Route 70 E, Suite 1a, Brick, NJ 08723 | 2016-07-29 |
| Find all providers in zip 08723 | ||||
| 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 |
|---|---|---|---|---|
| 1366998510 | Daniel Carrero | Psychiatry & Neurology | 1610 Route 88 Fl 3, Brick, NJ 08724 | 2016-08-28 |
| 1740454891 | Mark Leibo | Psychiatry & Neurology | 217 Penguin Rd, Brick, NJ 08723-6625 | 2008-04-19 |
| 1255407367 | Carol Ann Dobrzynski | Psychiatry & Neurology | 2890 Yorktowne Blvd, Brick, NJ 08723-7967 | 2006-11-28 |
| 1477035996 | Genpsych Brick | Psychiatry & Neurology | 940 Cedar Bridge Ave Fl 1, Brick, NJ 08723 | 2018-08-31 |
| 1851756498 | Tq Behavioral Health LLC | Psychiatry & Neurology | 940 Cedar Bridge Ave, Suite B, Brick, NJ 08723-4170 | 2015-12-28 |
| 1356652531 | Shore Psychiatric Associates LLC | Psychiatry & Neurology | 1683 Route 88 W, Brick, NJ 08724-3072 | 2010-06-23 |
| 1497940050 | Raymond Baum, Md, LLC | Psychiatry & Neurology | 445 Brick Blvd, Suite 201, Brick, NJ 08723-6048 | 2007-09-07 |
| 1821183765 | Bridges Behavioral Health Care | Psychiatry & Neurology | 74 Brick Blvd, Suite 117, Bldg. 4, Brick, NJ 08723-7984 | 2006-10-04 |
| 1780779702 | Russell Ferstandig | Psychiatry & Neurology | 74 Brick Blvd, Suite 117, Bldg 4, Brick, NJ 08723-7984 | 2006-10-04 |
| 1417066473 | Mary Celeste Rorro | Psychiatry & Neurology | 970 Route 70, Brick, NJ 08724-3502 | 2006-08-30 |
| Find all providers in BRICK | ||||
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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.