DR. DAVID CHARLES CLARK (NPI# 1649383902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649383902 |
| Entity Type | Individual |
| Full Name | DR. DAVID CHARLES CLARK |
| Credential | PH.D. |
| Practice Address |
552 Lincoln Ave Ste 205 Winnetka IL 60093-2353 |
| Mailing Address |
1004 Ash St Winnetka IL 60093-2102 |
| Practice Telephone | 3125439987 |
| Practice Fax Number | 8475013857 |
| Mailing Telephone | 3125439987 |
| Mailing Fax Number | 8475013857 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| Street Address |
552 LINCOLN AVE STE 205 |
| City | WINNETKA |
| State | IL |
| Zip Code | 60093-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
| 1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
| 1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
| 1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
| 1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
| 1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| 1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
| 1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
| 1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
| Find all providers in zip 60093 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649483744 | Carol Eileen Jansson | Psychologist | 199 Church Rd, Winnetka, IL 60093-3905 | 2007-05-07 |
| 1427184795 | K. Lara Beanblossom | Psychologist | 545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349 | 2007-02-23 |
| 1558448761 | Sally Jane Hoit | Psychologist | 1050 Gage St, Winnetka, IL 60093-1742 | 2006-11-01 |
| 1275620775 | Linda Lou Millon | Psychologist | 460 Winnetka Ave Ste 9, Winnetka, IL 60093-4206 | 2006-10-06 |
| 1184719189 | Lail L. Herman | Psychologist | 1051 Cherry St, Winnetka, IL 60093-2112 | 2006-10-04 |
| 1710086269 | Consulting & Clinical Psychology | Psychologist | 458 Winnetka Ave, #204, Winnetka, IL 60093-4266 | 2006-09-21 |
| 1528163078 | Michele Oreilly Studl | Psychologist | 545 Lincoln Av, Winnetka, IL 60093 | 2006-09-13 |
| 1982106647 | Michele O'reilly Studl LLC | Psychologist | 545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349 | 2018-03-08 |
| 1407226855 | Rebecca Wynne Denosaquo-murray | Psychologist | 545 Lincoln Ave, Suite 15, Winnetka, IL 60093-2349 | 2015-09-28 |
| 1003075979 | Rebecca Wynne Denosaquo | Psychologist | 545 Lincoln Ave, Suite 15, Winnetka, IL 60093-2349 | 2008-06-05 |
| Find all providers in WINNETKA | ||||
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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.