MRS. PATRICIA R CLARK (NPI# 1720122963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720122963 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA R CLARK |
| Credential | M.S., LMFT |
| Practice Address |
186 Kettle Pond Dr Wakefield RI 02879-5419 |
| Practice Telephone | 4017897770 |
| Practice Fax Number | 4017833636 |
| Mailing Telephone | 4017897770 |
| Mailing Fax Number | 4017833636 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 51 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS & BLUE SHIELD | 7221-2 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665694 | Patricia Jane Clark | Occupational Therapist | Patricia Clark, 408 Center Bridge Road, Turner, ME 04282 | 2020-09-30 |
| 1326590126 | Patricia Clark | Occupational Therapist | 310 Hidden Valley Trl, Sherman, TX 75092-7618 | 2016-10-27 |
| 1467830380 | Patricia Ann Clark | Speech-Language Pathologist | 4260 Hunters Pass, Spring Hill, FL 34609-0319 | 2015-05-12 |
| 1013335447 | Patricia Clark | Behavioral Analyst | 5332 N El Sol Ave, Fresno, CA 93722-6119 | 2014-04-02 |
| 1528409737 | Patricia L. Clark | Psychologist | 117 Tecumseh Ct., Raleigh, NC 27607 | 2013-07-16 |
| 1003174319 | Patricia Clark | Licensed Practical Nurse | 305 The Brooklands, Akron, OH 44305-3610 | 2012-04-25 |
| 1407120108 | Patricia Clark | Registered Nurse | 1870 Sunshine Drive, Concord, CA 94520 | 2012-02-28 |
| 1316170574 | Patricia L Clark | Physician Assistant | 271 Route 25a Ste 2, Wading River, NY 11792-2014 | 2009-09-03 |
| 1942372248 | Patricia Ann Clark | Counselor | 112 S. Madison, Aurora, MO 65605 | 2006-11-14 |
| 1093897266 | Patricia Clark | Nurse Practitioner | 1316 Hymelia Ave, Metairie, LA 70003-3710 | 2006-10-19 |
| Street Address |
186 KETTLE POND DR |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-5419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| 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 |
|---|---|---|---|---|
| 1083773626 | John D Moynehan | Marriage & Family Therapist | 1157 South Rd, Wakefield, RI 02879-7633 | 2006-12-08 |
| 1588756027 | Susan Elizabeth Meyer | Marriage & Family Therapist | 1058 Kingstown Rd, Wakefield, RI 02879 | 2006-09-29 |
| 1518487446 | Laurie Catalano | Marriage & Family Therapist | 301 Edgewater Pl, Wakefield, MA 01880-1293 | 2017-06-21 |
| 1811227168 | Clare Marie Sartori | Marriage & Family Therapist | 23 North Rd, A33, Wakefield, RI 02879-2176 | 2010-01-09 |
| 1922231869 | Jason Eric Laurie | Marriage & Family Therapist | 24 Salt Pond Rd, Suite H3, Wakefield, RI 02879-4314 | 2009-08-26 |
| 1326274937 | Katherine E Meehan | Marriage & Family Therapist | 481a Kingstown Rd, Suite E1, Wakefield, RI 02879-3607 | 2009-06-09 |
| 1114126257 | Jayson Spas | Marriage & Family Therapist | 24 Salt Pond Rd, Suite D-4, Wakefield, RI 02879-4314 | 2007-07-17 |
| 1336297639 | Peter Raymond Rossi Jr. | Marriage & Family Therapist | 24 Salt Pond Rd, South Kingstown Office Park, H6, Wakefield, RI 02879-4314 | 2007-01-05 |
| 1801800115 | Kathleen Levy | Marriage & Family Therapist | 24 Salt Pond Rd, Wakefield, RI 02879-4314 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596547 | Jason Domenic Dollard | Marriage & Family Therapist | 178 Broadway, Providence, RI 02903-3014 | 2019-09-10 |
| 1609343714 | Sarah Beth Wignall | Marriage & Family Therapist | 30 Commercial St, Cranston, RI 02905-3634 | 2018-10-26 |
| 1700369774 | Gabriella Brehio | Marriage & Family Therapist | 15 Manistee St, Pawtucket, RI 02861-4009 | 2018-09-14 |
| 1083197057 | Christine Grover | Marriage & Family Therapist | 162 Narragansett Pkwy, Warwick, RI 02888-2945 | 2018-09-14 |
| 1366937039 | Joy Heafner | Marriage & Family Therapist | 110 Brook Farm Rd N, South Kingstown, RI 02879-2721 | 2018-06-26 |
| 1972051001 | Kenneth Bryant | Marriage & Family Therapist | 67 Collins St, Bristol, RI 02809-3115 | 2016-09-19 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| 1487028783 | Jocelyn Arruda | Marriage & Family Therapist | 275 Mccorrie Lane, Portsmouth, RI 02871 | 2015-11-24 |
| 1457729543 | Michelle Tomasso | Marriage & Family Therapist | 150 Garden Hills Dr, Cranston, RI 02920-3314 | 2015-09-08 |
| 1114303898 | Bethany Jane Decollibus | Marriage & Family Therapist | 501 Centerville Rd, Suite 201, Warwick, RI 02886-4347 | 2015-08-05 |
| Find all providers with the same taxonomy | ||||
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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.