HEATHER JORDON CLARK PHD LLC (NPI# 1740456300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740456300 |
| Entity Type | Organization |
| Organization Name | HEATHER JORDON CLARK PHD LLC |
| Practice Address |
600 Sw 3rd St Suite 2270 Pompano Beach FL 33060-6932 |
| Practice Telephone | 9549608900 |
| Practice Fax Number | 9549608888 |
| Mailing Telephone | 9549608900 |
| Mailing Fax Number | 9549608888 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2010-09-20 |
| Authorized Official Name | DR. HEATHER JORDON CLARK (OWNER) |
| Authorized Official Telephone | 9549608900 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 7620 | FL | Behavioral Health & Social Service Providers |
| Street Address |
600 SW 3RD ST SUITE 2270 |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33060-6932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942278270 | Total Renal Care Inc | Clinic/Center | 600 Sw 3rd St, Ste 1100, Pompano Beach, FL 33060-6936 | 2006-03-11 |
| 1922344175 | True Blue Home Health Care Corp | Home Health | 600 Sw 3rd St, Suite 5100g, Pompano Beach, FL 33060-6932 | 2012-12-17 |
| 1245508977 | Donna B Kenney | Counselor | 600 Sw 3rd St, #6126, Pompano Beach, FL 33060-6932 | 2011-12-08 |
| 1548538432 | David L Ferguson | Social Worker | 600 Sw 3rd St, Suite 2270, Pompano Beach, FL 33060-6932 | 2011-12-06 |
| 1164721379 | Donna M Bivona | Counselor | 600 Sw 3rd St, #3400, Pompano Beach, FL 33060-6932 | 2011-03-28 |
| 1568793982 | Christian Behavioral Health Specialists | Psychologist | 600 Sw 3rd St, Suite 2270, Pompano Beach, FL 33060-6932 | 2010-01-25 |
| 1013147834 | Wc Wellness LLC | Nurse Practitioner | 600 Sw 3rd St, Suite 2270, Pompano Beach, FL 33060-6932 | 2009-07-15 |
| 1205029006 | Kathleen Anne Johnson | Counselor | 600 Sw 3rd St, Suite 6126, Pompano Beach, FL 33060-6932 | 2007-08-24 |
| 1649463449 | Windy Hill Institute, Inc | Community/Behavioral Health | 600 Sw 3rd St, Suite 6126, Pompano Beach, FL 33060-6932 | 2007-08-24 |
| 1437267747 | Denise Ann Canchola | Nurse Practitioner | 600 Sw 3rd St, Suite 2270, Pompano Beach, FL 33060-6932 | 2006-08-27 |
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| 1922606631 | Healthstat Wellness Health Center John Knox Village | Preventive Medicine | 500 South West 3rd Street, Suite 100, Pompano Beach, FL 33060 | 2020-10-14 |
| 1184234510 | Mediplus Clinic | Clinic/Center | 151 Sw 6th Street, Pompano Beach, FL 33060 | 2020-07-31 |
| 1912566415 | Sophia Thompson | Specialist/Technologist | 817 N Dixie Highway, Pompano Beach, FL 33060 | 2019-06-07 |
| 1508342460 | Gayta Prospere | Counselor | 871 North Dixie Highway, Pompano Beach, FL 33060 | 2018-07-13 |
| 1801303847 | Mediplus Clinic, Inc | General Practice | 151-155 Sw 6th Street, Pompano Beach, FL 33060 | 2017-12-29 |
| 1932624673 | Molly Waterway | Technician, Other | 200 Sw 16th St., Pompano Beach, FL 33060 | 2017-08-03 |
| 1366965089 | Jordan Terrell Striggles | Technician, Other | 1871 Nw 5th Terr, Pompano Beach, FL 33060 | 2017-07-25 |
| 1568832848 | Richard Orlan | Hearing Instrument Specialist | 550 S.w. 3rd St., #101b, Pompano Beach, FL 33060 | 2015-09-30 |
| 1700270808 | Lab Geeks, LLC | Clinical Medical Laboratory | 1701 Green Road, Suite B, Deerfield Beach, FL 33060 | 2015-03-26 |
| 1023412236 | Jesica Christine Velez | Behavioral Analyst | 911 East Atlantic Bulevard #108a, Pompano Beach, FL 33060 | 2014-10-17 |
| Find all providers in zip 33060 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518312420 | T4 Consulting Inc | Psychologist | 247 Sw 7th St, Pompano Beach, FL 33060-8395 | 2016-04-28 |
| 1114235751 | Rachel Marie Salerno | Psychologist | 4699 N Federal Hwy Ste 102f, Pompano Beach, FL 33064-6510 | 2010-09-16 |
| 1457686453 | Lisa Faraldo Phd Pa | Psychologist | 480 Se 1st Ave, Pompano Beach, FL 33060-7104 | 2009-10-08 |
| 1275743593 | Sarah Diperna | Psychologist | 812 Ne 4th Ave, Pompano Beach, FL 33060-6213 | 2007-05-23 |
| 1245312180 | Marc Joseph Romano | Psychologist | 2413 E Atlantic Blvd, Ste. 122, Pompano Beach, FL 33062-5213 | 2006-10-19 |
| 1184084915 | Heather Pleickhardt | Psychologist | 817 N Dixie Hwy, Pompano Beach, FL 33060-5621 | 2016-03-07 |
| 1649637919 | Cecilia Ann Crawford | Psychologist | 4699 N Federal Hwy Ste 102f, Pompano Beach, FL 33064-6510 | 2016-01-18 |
| 1437403169 | Monique Nicole Mendez-timmons | Psychologist | 817 N Dixie Hwy, Pompano Beach, FL 33060-5621 | 2012-11-02 |
| 1023285137 | Paradocs Consultants Inc | Psychologist | 550 Sw 3rd St, Suite 100, Pompano Beach, FL 33060-6934 | 2008-05-08 |
| 1174741771 | Dahlia V. Gordon | Psychologist | 1000 W Mcnab Rd, Suite 231, Pompano Beach, FL 33069-4719 | 2007-04-22 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33060 |
Please comment or provide details below to improve the information on HEATHER JORDON CLARK PHD LLC.
| 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.