DR. CHRISTY A CLARK (NPI# 1760411102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760411102 |
| Entity Type | Individual |
| Full Name | DR. CHRISTY A CLARK |
| Credential | PH.D. |
| Practice Address |
300 W Main St Bldg A Northborough MA 01532-2132 |
| Practice Telephone | 5088562551 |
| Practice Fax Number | 5088565320 |
| Mailing Telephone | 5083348815 |
| Mailing Fax Number | 5083345374 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7966 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421555 | Christy Marie Clark | Nurse Practitioner | 516 Vance Hill Rd, Danville, VA 24540-6406 | 2020-06-10 |
| 1154608503 | Christy Lynn Clark | Counselor | 3978 Arbol Ct, Boulder, CO 80301-1752 | 2011-11-14 |
| 1144571548 | Christy Dawn Clark | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2012-09-25 |
| 1023392198 | Christy Clark | Counselor | 1915 D St, Antioch, CA 94509-2571 | 2011-10-06 |
| 1477794949 | Christy Ann Clark | Internal Medicine | 401 Matthew St, Marietta, OH 45750-1635 | 2009-03-13 |
| 1326136995 | Christy C. Clark | Counselor | 1640 Powers Ferry Rd Se, Building 9, Suite 100, Marietta, GA 30067-5491 | 2006-10-10 |
| 1679565907 | Christy Joy Clark | Counselor | 701 Chestnut St, Lebanon, PA 17042-5225 | 2005-08-23 |
| Street Address |
300 W MAIN ST BLDG A |
| City | NORTHBOROUGH |
| State | MA |
| Zip Code | 01532-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518479039 | Right Road Recovery, LLC | Counselor | 300 W Main St, Northborough, MA 01532-2132 | 2017-10-25 |
| 1720511488 | Michelle Merchant | Counselor | 300 W Main St, Northborough, MA 01532-2132 | 2017-04-09 |
| 1114382892 | Jillian Mae Garofano-staines | Counselor | 300 W Main St, Northborough, MA 01532-2132 | 2015-12-22 |
| 1023496577 | Robert Cooke PC | Social Worker | 300 W Main St, Northborough, MA 01532-2132 | 2015-05-15 |
| 1982032447 | Traci-marie Sweet | Counselor | 300 W Main St, Northborough, MA 01532-2132 | 2013-10-21 |
| 1063852424 | Elizabeth Vadnais | Counselor | 300 W Main St, Northborough, MA 01532 | 2013-07-01 |
| 1891054847 | Elizabeth Niedbala | Social Worker | 300 W Main St, Building B, Suite 113, Northborough, MA 01532-2132 | 2012-05-11 |
| 1548543978 | Benjamin Baker Staines | Social Worker | 300 W Main St, Building B, Northborough, MA 01532-2132 | 2011-09-22 |
| 1194018036 | Cole Psychological and Assessment Services LLC | Psychologist | 300 W Main St, Bldg. B Suite 211, Northborough, MA 01532-2132 | 2011-05-25 |
| 1639475155 | En Psychotherapy, LLC | Social Worker | 300 W Main St, Northborough, MA 01532-2132 | 2011-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073152153 | Authentic Wellness Therapy LLC | Clinic/Center | Authentic Wellness Therapy LLC, 300 West Main Street, Building B, Northborough, MA 01532 | 2020-01-06 |
| 1396225819 | Shannon Furgal | Behavior Technician | 359 Whitney St, Northborough, MA 01532 | 2018-08-14 |
| 1487145926 | Jonathan Ye | Dentist | 448 Howard St, Northborough, MA 01532 | 2018-05-21 |
| 1205219441 | Nuch of Massachusetts, LLC | Clinic/Center | 10002 Shops Way, Suite A, Northborough, MA 01532 | 2015-07-07 |
| 1164775243 | Christine B Chapman | Nurse Practitioner | 10002 Shops Way Ste A, Northborough, MA 01532 | 2012-10-26 |
| 1013269927 | Lindsay Brady | Social Worker | 295 Crawford St., Northborough, MA 01532 | 2012-10-03 |
| 1366763047 | Christine Rodriguez | Counselor | 20 Main Street, Northborough, MA 01532 | 2010-06-17 |
| 1417189432 | Deborah Anne Carter | Social Worker | 130 Main St., Bldg. 2 Suite F, Northborough, MA 01532 | 2009-08-10 |
| 1780802561 | Department of Mental Health | Case Management | 40 Institute Rd, Oaks B Bldg, Southbridge - Milford Cm, No Grafton, MA 01532 | 2007-04-24 |
| 1285787747 | Karen Leigh Lilley | Counselor | 21 Southwest Cutoff, Northborough, MA 01532 | 2007-01-19 |
| Find all providers in zip 01532 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477649879 | Richard C. Bedrosian | Psychologist | 184 Otis Street, Northborough, MA 01532-2415 | 2006-10-04 |
| 1326133729 | Susan S Hoge | Psychologist | 300 West Main Street, Fox Meadows, Bldg B, Northborough, MA 01532 | 2006-10-03 |
| 1497788582 | Elizabeth Holle Nasser | Psychologist | 22 Fairway Dr, Northborough, MA 01532-2072 | 2006-07-09 |
| 1861982001 | Kevin Richard Murphy | Psychologist | 300 W Main St Bldg B, Northborough, MA 01532-2132 | 2018-05-14 |
| 1982016937 | Stephen Brevik | Psychologist | 44 Bearfoot Rd Ste 300, Northborough, MA 01532 | 2014-05-27 |
| 1194018036 | Cole Psychological and Assessment Services LLC | Psychologist | 300 W Main St, Bldg. B Suite 211, Northborough, MA 01532-2132 | 2011-05-25 |
| 1932354545 | Rachel Gaillard Smook | Psychologist | 300 W Main St, Building B, Northborough, MA 01532-2132 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000703 | Jonathan Inz Phd LLC | Psychologist | 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 | 2020-10-14 |
| 1114524337 | T Psychological Services Professional LLC | Psychologist | 305 Avalon Dr, Bedford, MA 01730-2067 | 2020-10-01 |
| 1235746934 | Alexandra R Nelson Phd | Psychologist | 46 Gerald Rd, Milton, MA 02186-4769 | 2020-09-26 |
| 1396359154 | Theresa Mary Brasier | Psychologist | 25 Birch St Ste A, Milford, MA 01757-3585 | 2020-08-31 |
| 1154934685 | David S Sugarbaker | Psychologist | 1015 Brook Rd, Milton, MA 02186-4114 | 2020-08-25 |
| 1114537131 | Annemarie Baldauf, Psyd, Pllc | Psychologist | 49 Hancock St Ste 104, Cambridge, MA 02139-3188 | 2020-08-04 |
| 1801406103 | Barbara Kellogg Gannon | Psychologist | 30 Western Ave Ste 209, Gloucester, MA 01930-3664 | 2020-08-03 |
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
| Find all providers with the same taxonomy | ||||
| City | NORTHBOROUGH |
| Zip Code | 01532 |
Please comment or provide details below to improve the information on DR. CHRISTY A CLARK.
| 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.