MR. SCOTT THOMAS CLARK (NPI# 1487163002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487163002 |
| Entity Type | Individual |
| Full Name | MR. SCOTT THOMAS CLARK |
| Credential | LMHC |
| Practice Address |
707 Broadway Blvd Ne Albuquerque NM 87102 |
| Mailing Address |
12801 Indian School Rd Ne Apt 408 Albuquerque NM 87112-4772 |
| Practice Telephone | 5053458471 |
| Mailing Telephone | 5055960614 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CTL0195891 | NM | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5015 Caspar Ave, Los Angeles, CA 900411901 | 3236828084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275650657 | Scott C Clark | Chiropractor | 1540 N Arlington Heights Rd, Arlington Heights, IL 60004-3906 | 2007-03-23 |
| 1205903754 | Scott Clark | Optometrist | 491 Rantoul St, Beverly, MA 01915-3231 | 2006-11-29 |
| 1225119191 | Scott Earl Clark | Physician Assistant | 6 Fountain Plaza, Buffalo, NY 14202 | 2006-10-18 |
| 1255440475 | Scott Clark | Physician Assistant | 1503 Buenos Aires Blvd Ste 100, The Villages, FL 32159-6825 | 2006-08-30 |
| 1265490734 | Scott Matthew Clark | Chiropractor | 8000 Dallas St, Fort Smith, AR 72903-4277 | 2006-05-03 |
| 1700865748 | Scott A Clark | Podiatrist | 24 S 1100 E Ste 210, Salt Lake City, UT 84102 | 2006-01-10 |
| 1336752286 | Scott Clark | Behavior Technician | 5457 Sw Canyon Ct, Portland, OR 97221-2401 | 2020-08-28 |
| 1518528868 | Scott Randall Clark | Nurse Practitioner | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2019-06-27 |
| 1710432984 | Scott Clark | Pharmacist | 100 W Riverside Dr, Parker, AZ 85344-5205 | 2016-08-17 |
| 1316331994 | Scott Clark Jr. | Registered Nurse | 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 | 2015-03-23 |
| Street Address |
707 BROADWAY BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699880484 | David Jonathan Ley Jr. | Psychologist | 707 Broadway Blvd Ne, Ste 500, Albuquerque, NM 87102-2360 | 2006-08-20 |
| 1831798768 | Bethany Garling-spychala | Social Worker | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2020-10-21 |
| 1225637556 | Sharon Gissell Marin | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2020-10-19 |
| 1609475938 | Kayla Naomi Escobedo | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2020-10-19 |
| 1245837202 | Angel Sanchez | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2020-10-02 |
| 1225641228 | Madeline Chloe Slator | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2020-08-28 |
| 1629681390 | Madison D'shey Bean | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2020-08-24 |
| 1043821408 | Katryna Mitchell | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2020-08-11 |
| 1699383240 | Rebekah Renee Maestas | Counselor | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2020-07-20 |
| 1831714781 | Erica Lynn Rawson | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1710599394 | Korinna Leigh Dennehey | Counselor | 625 Silver Ave Sw Ste 190, Albuquerque, NM 87102-3186 | 2020-08-17 |
| 1235747908 | Susan Gayle Hakeem | Counselor | 9628 Prospect Ave Ne, Albuquerque, NM 87112-2933 | 2020-07-20 |
| 1740803196 | The Hope Holders Counseling Services | Counselor | 4200 Spanish Bit Ne Apt B105, Albuquerque, NM 87111-4269 | 2020-05-20 |
| 1386264349 | Susan Mckee | Counselor | 8900 Liberty Dr Ne, Albuquerque, NM 87109-5173 | 2020-04-20 |
| 1932738689 | Gretchen Donelle Hanks | Counselor | 1004 Brazos Ct Se, Albuquerque, NM 87123-4258 | 2020-04-05 |
| 1386279297 | Counseling Albuquerque | Counselor | 4906 Alameda Blvd Ne Ste A, Albuquerque, NM 87113-1362 | 2020-03-11 |
| 1003441015 | Solamente Holistic Health | Counselor | 833 Lomas Blvd Nw, Albuquerque, NM 87102-1955 | 2020-03-10 |
| 1073146007 | Leslie Christine Stannard | Counselor | 5203 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2683 | 2020-02-18 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on MR. SCOTT THOMAS 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.