DR. LAURA KATHLEEN CLARK (NPI# 1730458159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730458159 |
| Entity Type | Individual |
| Full Name | DR. LAURA KATHLEEN CLARK |
| Credential | PSY.D. |
| Practice Address |
122 E Olin Ave Suite 220 Madison WI 53713-1487 |
| Practice Telephone | 6082559119 |
| Practice Fax Number | 6082559219 |
| Mailing Telephone | 6082559119 |
| Mailing Fax Number | 6082559219 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2982-57 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729841 | Laura Ann Clark | Registered Nurse | 1001 Lawrence Ave, Nashville, TN 37204-2030 | 2020-10-30 |
| 1710250824 | Laura Clark | Case Manager/Care Coordinator | 603 W Fleeman Ste 4, Manila, AR 72442-9171 | 2012-02-21 |
| 1972886042 | Laura Clark | Acupuncturist | 1235 Lake Plaza Dr Ste 231, Colorado Springs, CO 80906-3517 | 2011-09-24 |
| 1821220575 | Laura Clark | Specialist | 283 Winslow Way, Bethlehem, GA 30620-3248 | 2009-08-13 |
| 1407012412 | Laura A Clark | Speech-Language Pathologist | 25 High School Dr, Penfield, NY 14526-1422 | 2008-07-30 |
| 1417002551 | Laura L Clark | Counselor | 429 Billingsley Road 2nd Floor, Mecklenburg County Substance Abuse Services Center, Charlotte, NC 28211-1098 | 2007-01-25 |
| 1114029238 | Laura Kay Clark | Nurse Practitioner | #4 Hospital Drive, St. Vincent Morrilton Hospital, Morrilton, AR 72110-4510 | 2006-09-01 |
| 1245260009 | Laura Ayala Clark | Marriage & Family Therapist | 88 Long Ct Ste C, Thousand Oaks, CA 91360-6065 | 2006-07-04 |
| 1942809595 | Laura R. Clark | Psychologist | 25 Highland Ave, Lisbon, NH 03585-6112 | 2020-10-23 |
| 1184196081 | Laura Ann Clark | Nurse Practitioner | 120 Colonial Promenade Pkwy, Alabaster, AL 35007-3155 | 2018-12-18 |
| Street Address |
122 E OLIN AVE SUITE 220 |
| City | MADISON |
| State | WI |
| Zip Code | 53713-1487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851406078 | Sue Holsman | Marriage & Family Therapist | 122 E Olin Ave, Suite 220, Madison, WI 53713-1487 | 2006-08-20 |
| 1922644848 | Jenny Lee Smith | Social Worker | 122 E Olin Ave, Madison, WI 53713-1487 | 2019-11-26 |
| 1154966364 | Lynneta Latham | Social Worker | 122 E Olin Ave, Madison, WI 53713-1487 | 2019-11-12 |
| 1407408768 | Jenny Christine Lee | Social Worker | 122 E Olin Ave, Suite 275, Madison, WI 53713 | 2019-07-16 |
| 1487174678 | Katherine Irene Lauth | Counselor | 122 E Olin Ave, Madison, WI 53713-1487 | 2017-06-20 |
| 1033452594 | Patti Lyon Bee | Counselor | 122 E Olin Ave, 220, Madison, WI 53713-1487 | 2013-04-03 |
| 1942456116 | Responsive Solutions, Inc. | Day Training, Developmentally Disabled Services | 122 E Olin Ave, Suite 100, Madison, WI 53713-1487 | 2008-08-07 |
| 1700069440 | Nancy Conant Pullen | Counselor | 122 E Olin Ave, Suite #220 - Psychology Associates, Madison, WI 53713-1487 | 2007-12-17 |
| 1598951618 | Kathleen Marie Kasper | Counselor | 122 E Olin Ave, Suite 220, Madison, WI 53713-1487 | 2007-09-21 |
| 1457566051 | D. Sunshine Jones | Marriage & Family Therapist | 122 E Olin Ave, Suite 250, Madison, WI 53713-1487 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1497311294 | Brenda Sue Stepak | Psychologist | 4 Giralda Farms, Madison, NJ 07940 | 2019-05-16 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1598232548 | Different Minds LLC | Psychologist | 313 Price Pl Ste 109, Madison, WI 53705-3262 | 2018-10-29 |
| 1760967145 | Emily Cahill Forscher | Psychologist | 2801 International Ln, Madison, WI 53704-3119 | 2018-10-01 |
| 1083167944 | Monica Ballard-booth | Psychologist | 331 State St, Suite 300, Madison, WV 25130-1367 | 2016-07-27 |
| 1750758033 | Patricia Humphrey | Psychologist | 4785 Hayes Rd Ste 100, Madison, WI 53704-7364 | 2015-08-21 |
| 1417348046 | Roger Rattan | Psychologist | 516 Troy Dr, Madison, WI 53704-1575 | 2015-02-18 |
| 1427453877 | Forward Psychology Group | Psychologist | 478 Commerce Dr Ste 204, Madison, WI 53719-5099 | 2014-10-28 |
| Find all providers in MADISON | ||||
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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.