DR. R. RAY CLARK (NPI# 1780769018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780769018 |
| Entity Type | Individual |
| Full Name | DR. R. RAY CLARK |
| Other Name | DR. R RAY CLARK |
| Credential | PH.D. |
| Practice Address |
5725 Forward Ave Suite 300 Pittsburgh PA 15217-2255 |
| Mailing Address |
Po Box 8128 Pittsburgh PA 15217-0128 |
| Practice Telephone | 4126210551 |
| Practice Fax Number | 4126216414 |
| Mailing Telephone | 4126210551 |
| Mailing Fax Number | 4126216414 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS-008392-L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016409990005 | 05 | |
| PA | BCBS | 00180561 | 01 |
| HIGHMARK | S46121 | 01 |
| Street Address |
5725 FORWARD AVE SUITE 300 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15217-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992896823 | Howard Ian Goldstein | Dentist | 5725 Forward Ave, Suite 200, Pittsburgh, PA 15217-2255 | 2006-09-27 |
| 1003290487 | Jenny Huff | Social Worker | 5725 Forward Ave, Suite 100, Pittsburgh, PA 15217-2255 | 2015-07-15 |
| 1700051125 | The Charte Center | Community/Behavioral Health | 5725 Forward Ave, Suite 100, Pittsburgh, PA 15217-2255 | 2008-04-27 |
| 1023140365 | Callie A Cooper | Social Worker | 5725 Forward Ave, Suite 100, Pittsburgh, PA 15217-2255 | 2007-03-12 |
| 1306918537 | Gila Lesky | Social Worker | 5725 Forward Ave, Pittsburgh, PA 15217-2255 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386279867 | Esther Moritz | Emergency Medical Technician, Basic | Tech and Frew Streets, Pittsburgh, PA 15217 | 2020-03-05 |
| 1588168645 | Melissa Noll-carter | Counselor | 5725 Forward Ave Ste 300, Pittsburgh, PA 15217 | 2018-03-22 |
| 1699281923 | Laura Leiden | Dietitian, Registered | 2008 Murray Ave Ste B, Pittsburgh, PA 15217 | 2017-12-22 |
| 1912424391 | Tina Marie Javorsky | Dental Hygienist | Squirrel Hill Health Center, 4516 Browns Hill Road --suite A, Pittsburgh, PA 15217 | 2017-08-25 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1588044283 | Jonathan Yadlosky | Family Medicine | 5608 Wilkins Ave Ste 100, Pittsburgh, PA 15217 | 2015-06-08 |
| 1659795631 | Karolyn Carlson | Speech-Language Pathologist | 5636 Bartlett Street, Pittsburgh, PA 15217 | 2014-02-11 |
| 1841620663 | Tokunboh M. Obasi | Nutritionist | 5824 Forbes Ave., Suite 2a, Pittsburgh, PA 15217 | 2013-11-14 |
| 1063710705 | Jeffrey Michael Parker | Dentist | 6301 Forbes Ave., Suite 102, Pittsburgh, PA 15217 | 2011-03-04 |
| 1528381324 | Susan Shaiman Kimelman | Speech-Language Pathologist | 233 Anita Ave, Pittsburgh, PA 15217 | 2010-03-08 |
| Find all providers in zip 15217 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150021 | Peter Bachman | Psychologist | 3501 Forbes Ave Ste 450, Pittsburgh, PA 15213-3327 | 2020-06-28 |
| 1417573726 | Amy L Byrd | Psychologist | Sterling Plaza, Suite 408, 201 N. Craig Street, Pittsburgh, PA 15213-1520 | 2020-06-23 |
| 1477191393 | Lisa Jennifer Germeroth | Psychologist | 3601 Fifth Ave., Suite 3b, Pittsburgh, PA 15213 | 2019-12-11 |
| 1568008860 | Christine Keller Simpson | Psychologist | 230 N Craig St Ste B, Pittsburgh, PA 15213-1569 | 2019-11-21 |
| 1912549106 | Brian C Thoma | Psychologist | 100 N Bellefield Ave Rm 750, Pittsburgh, PA 15213-2600 | 2019-10-09 |
| 1922655992 | Ryan Mest | Psychologist | 6507 Wilkins Ave Ste 103, Pittsburgh, PA 15217-1305 | 2019-08-23 |
| 1336791011 | Douglas Schiller Phd PC | Psychologist | 4716 Ellsworth Ave Apt 211, Pittsburgh, PA 15213-2842 | 2019-07-12 |
| 1760904452 | Jennifer Beckjord | Psychologist | 3811 Ohara St # 8011, Pittsburgh, PA 15213-2561 | 2017-07-13 |
| 1942657036 | The Phoenix Group | Psychologist | 346 Lamarido St, Pittsburgh, PA 15226-1331 | 2016-05-18 |
| 1841676707 | Insight Therapy Pittsburgh | Psychologist | 261 Maple Ave, Pittsburgh, PA 15218-1523 | 2015-08-03 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15217 |
Please comment or provide details below to improve the information on DR. R. RAY 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.