ROBIN CLARK (NPI# 1821459892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821459892 |
| Entity Type | Individual |
| Full Name | ROBIN CLARK |
| Credential | CATC....BS...CS |
| Practice Address |
558 J St Chula Vista CA 91910-5302 |
| Practice Telephone | 6192271691 |
| Mailing Telephone | 6192271691 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568949469 | Robin Ardelle Clark | Community Health Worker | 32270 Old Woman Springs Rd, Lucerne Valley, CA 92356 | 2018-07-24 |
| 1083145239 | Robin Clark | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 300, Camden, NJ 08103-1438 | 2017-03-21 |
| 1205045374 | Robin Kaye Clark | Occupational Therapist | 3601 Marconi Ave, Sacramento, CA 95821-5309 | 2007-05-22 |
| 1720094048 | Robin Clark | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2006-07-31 |
| 1902826498 | Robin D Clark | Medical Genetics | 11370 Anderson St, Ste B-100, Loma Linda, CA 92354-3450 | 2006-07-20 |
| 1063403483 | Robin Nicole Clark | Physician Assistant | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2005-11-03 |
| Street Address |
558 J ST |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288088 | Rhett Creel | Counselor | 1172 Third Ave Ste D, Chula Vista, CA 91911-3116 | 2020-06-01 |
| 1841848157 | Leanna Marie Amundson | Counselor | 1180 3rd Ave Ste C3c4, Chula Vista, CA 91911-3139 | 2019-08-29 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1568924884 | Irene Merritt | Counselor | 1172 Third Ave Ste D1, Chula Vista, CA 91911-3116 | 2019-04-04 |
| 1124585542 | Ronald Laurence Smith | Counselor | 73 N 2nd Ave, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1841757267 | Jesus Abel Rodriguez | Counselor | 73 N 2nd Ave Apt B, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1053887414 | Javier A Ballesteros | Counselor | 1095 Bay Blvd, Chula Vista, CA 91911-1648 | 2018-10-23 |
| 1942704051 | Elias Khathori Najor | Counselor | 1180 Third Ave Ste 3, Chula Vista, CA 91911-3139 | 2018-03-22 |
| 1033610035 | Sadie Marie Callanan | Counselor | 1180 Third Ave, Chula Vista, CA 91911-3139 | 2018-02-24 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
Please comment or provide details below to improve the information on ROBIN 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.