JOSEPH B CLARK (NPI# 1770990038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770990038 |
| Entity Type | Individual |
| Full Name | JOSEPH B CLARK |
| Practice Address |
4218 North Grand Blvd St. Louis MO 63107 |
| Practice Telephone | 3145346624 |
| Practice Fax Number | 3145354394 |
| Mailing Telephone | 3145346624 |
| Mailing Fax Number | 3145354394 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417319161 | Joseph Martin Clark | Radiology | 16 E High St, Lebanon, PA 17042-5454 | 2016-03-22 |
| 1285936005 | Joseph R Clark | Dentist | 42 Georgia Ave, Commerce, GA 30529-2320 | 2010-11-30 |
| 1467776484 | Joseph Lefiever Clark Iv | Nurse Practitioner | 618 Oak St, Graham, TX 76450-3040 | 2010-03-19 |
| 1437354842 | Joseph Patterson Clark | Audiologist | 510 Fleming St Ste D, Hendersonville, NC 28739-4250 | 2007-06-15 |
| 1821217738 | Joseph Allen Clark | Massage Therapist | 3270 Fir Ridge Rd, Lake Oswego, OR 97035-2643 | 2007-04-25 |
| 1194795856 | Joseph D Clark | Psychiatry & Neurology | 81 Hillcrest Dr Ste 1300, Punxsutawney, PA 15767-2605 | 2006-01-25 |
| 1053308288 | Joseph M Clark | Otolaryngology | 1248 Huffman Mill Rd, Ste 201, Burlington, NC 27215-8700 | 2005-10-03 |
| 1164021093 | Joseph Brady Clark | Physical Therapy Assistant | 1030 Scott Dr, Prescott, AZ 86301-4737 | 2020-10-21 |
| 1740814656 | Joseph D Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-02-29 |
| 1235626110 | Joseph Louis Clark II | Physical Medicine & Rehabilitation | 11565 Harts Rd, Jacksonville, FL 32218-3777 | 2018-04-17 |
| Street Address |
4218 NORTH GRAND BLVD |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801162474 | Marsha J Ivester | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107-1952 | 2012-03-28 |
| 1528468147 | Annette Michelle Cook | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-09-02 |
| 1336556695 | Chris S Briggs | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-18 |
| 1578970059 | Jacqueline Randolph | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
| 1932515012 | Christopher L Adams | Counselor | 4220 North Grand Blvd, St.louis, MO 63107 | 2014-07-09 |
| 1902212160 | Nora Ann Boland II | Counselor | 4220 North Grand Blvd., St. Louis, MO 63107 | 2014-07-09 |
| 1700209467 | Calvin Garner | Social Worker | 7018 Destrehan, St Louis, MO 63107 | 2014-01-30 |
| 1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
| 1518189141 | Excel Home Health Care | Chore Provider | 2125 Bissell St, St. Louis, MO 63107 | 2007-05-03 |
| 1407375314 | Shayla Dana Smith | Counselor | 4220 Grand Ave, St Louis, MO 63107 | 2017-09-12 |
| 1083115729 | Laquetta Williams | Nurse's Aide | 1121 E Gano Ave, Saint Louis, MO 63107-1319 | 2018-02-27 |
| Find all providers in zip 63107 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124530977 | Unique Diamonds, LLC | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2017-11-02 |
| 1780105452 | James Bryan Schrader | Counselor | 12648 Olive Blvd, Behavioral Heath Response, St. Louis, MO 63141 | 2017-07-03 |
| 1427591734 | David Keith Barton | Counselor | 800 North Tucker, St. Louis, MO 63101 | 2016-11-18 |
| 1902212160 | Nora Ann Boland II | Counselor | 4220 North Grand Blvd., St. Louis, MO 63107 | 2014-07-09 |
| 1801963012 | Jane Wright Seelig | Counselor | 7243 Delmar Blvd, Suite 201, St. Louis, MO 63130-4105 | 2006-11-30 |
| 1730274291 | Richard Orlando | Counselor | 10805 Sunset Office Drive, Suite 401, St. Louis, MO 63127 | 2006-10-03 |
| 1164463915 | Barbara Juettemeyer | Counselor | 522 N. New Ballas, Suite 332, St. Louis, MO 63141 | 2006-06-10 |
| 1528468147 | Annette Michelle Cook | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-09-02 |
| 1336556695 | Chris S Briggs | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-18 |
| 1578970059 | Jacqueline Randolph | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-17 |
| Find all providers in ST. LOUIS | ||||
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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.