DONNA CLARK (NPI# 1639211949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639211949 |
| Entity Type | Individual |
| Full Name | DONNA CLARK |
| Practice Address |
12625 Hesperia Rd Victorville CA 92395-7720 |
| Mailing Address |
1269 Orange Ave Beaumont CA 92223-1707 |
| Practice Telephone | 7609551777 |
| Mailing Telephone | 9517048929 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 40585 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467901314 | Donna Marie Clark | Counselor | 104 N Park Ave, Coatesville, PA 19320-2836 | 2016-10-03 |
| 1982059978 | Donna Rae Clark | Licensed Practical Nurse | 3097 Pondview Dr, Ravenna, OH 44266-9051 | 2016-04-27 |
| 1972920569 | Donna Alice Clark | Social Worker | 3007 N. Saginaw Rd., Midmichigan Home Care, Midland, MI 48640 | 2014-03-21 |
| 1215353743 | Donna Patricia Clark | Nurse Practitioner | 12388 Warwick Blvd Ste 302, Newport News, VA 23606-3858 | 2014-03-07 |
| 1104832617 | Donna M Clark | Registered Nurse | 130 Cedar Rd Ste 200, Vista, CA 92083-5102 | 2006-08-01 |
| 1730637109 | Donna Clark | Social Worker | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2016-09-14 |
| 1659675866 | Donna Clark | Specialist | 718 S State St, Clarks Summit, PA 18411-1749 | 2011-01-03 |
| 1720318140 | Donna Marie Clark | Nurse Practitioner | 110 Francis St, Suite 6e, Boston, MA 02215-5501 | 2010-01-07 |
| 1588812598 | Donna C Clark | Audiologist | 2950 Cullen Blvd, Ste. 202, Pearland, TX 77584-3921 | 2008-09-03 |
| 1093849879 | Donna Lee Clark | Pharmacist | 124 Main St, Man Pharmacy, Man, WV 25635-1212 | 2007-03-15 |
| Street Address |
12625 HESPERIA RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-7720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679663181 | Jaidev Madgulkar | Social Worker | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2006-10-13 |
| 1336765007 | Holly Marie Croteau | Registered Nurse | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-06-18 |
| 1033735881 | Tess Mcclellan | Peer Specialist | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-06-17 |
| 1588287536 | Sandra Martinez | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-05-26 |
| 1235764739 | Deborah Courtney-taylor | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-03-05 |
| 1205461951 | Rose Arcelia Rosas | Counselor | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-03-03 |
| 1083250690 | Tonii Marie Cardoza | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2019-11-19 |
| 1558918680 | Jennifer Greeno | Counselor | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2019-08-22 |
| 1972072387 | Sarah Sue Originales | Licensed Vocational Nurse | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2018-11-14 |
| 1104305879 | Sarah Ann Marroquin | Registered Nurse | 12625 Hesperia Rd, Victorville, CA 92395 | 2018-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417514258 | Sophia Nana Akyeampong | Marriage & Family Therapist | 14344 Cajon Ave Ste 101, Victorville, CA 92392-4301 | 2019-05-28 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1679071450 | David A Vest | Marriage & Family Therapist | 15415 Anacapa Rd # 7, Victorville, CA 92392-2463 | 2018-01-26 |
| 1003345281 | Angela Marie Rincon | Marriage & Family Therapist | 15095 Amargosa Rd Ste 205, Victorville, CA 92394-1879 | 2017-06-09 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1679025308 | Syreeta Green | Marriage & Family Therapist | 15437 Anacapa Rd Ste 23, Victorville, CA 92392-2458 | 2016-10-28 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1770942914 | Monica Castro | Marriage & Family Therapist | 15095 Armargosa Rd, 208, Victorville, CA 92394 | 2016-02-16 |
| 1497173553 | Blaine Witte | Marriage & Family Therapist | 15437 Anacapa Rd, Victorville, CA 92392-2458 | 2014-04-04 |
| 1316385339 | Cecelia Marzullo | Marriage & Family Therapist | 16552 Sunhill Dr, Victorville, CA 92395-4518 | 2013-06-12 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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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.