BRANDON C CLARK (NPI# 1871872416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871872416 |
| Entity Type | Individual |
| Full Name | BRANDON C CLARK |
| Practice Address |
500 Fairway Dr Deerfield Beach FL 33441-1814 |
| Mailing Address |
6 Roseberry Cir Port Wentworth GA 31407-5612 |
| Practice Telephone | 9546037885 |
| Mailing Telephone | 8505675657 |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2015-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 103K00000X | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528522083 | Brandon Clark | Registered Nurse | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2019-01-29 |
| 1063988939 | Brandon K Clark | Case Manager/Care Coordinator | 103 4th St, Jonesboro, LA 71251-3346 | 2018-10-18 |
| 1972054393 | Brandon Clark | Counselor | 8930 Stanford Blvd, Suite M 100, Columbia, MD 21045-5805 | 2016-10-20 |
| 1932561115 | Brandon W. Clark | Social Worker | 1203 Idaho St, Lewiston, ID 83501-1940 | 2016-03-25 |
| 1174844138 | Brandon Clark | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001 | 2010-06-14 |
| 1528256955 | Brandon Clark | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2007-10-10 |
| Street Address |
500 FAIRWAY DR |
| City | DEERFIELD BEACH |
| State | FL |
| Zip Code | 33441-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972130 | Total Emedical Inc | Durable Medical Equipment & Medical Supplies | 500 Fairway Dr, Suite 208, Deerfield Beach, FL 33441-1814 | 2005-06-21 |
| 1871127043 | Aujanae Gay | Behavior Technician | 500 Fairway Dr, Suite 102, Deerfield Beach, FL 33441 | 2020-02-26 |
| 1487292058 | Bridget Marie Hobart | Behavior Technician | 500 Fairway Dr, Suite 102, Deerfield Beach, FL 33441 | 2019-12-14 |
| 1386287993 | Centerrya Me'shawn Williams | Behavior Technician | 500 Fairway Dr, Deerfield Beach, FL 33441-1814 | 2019-10-26 |
| 1043851348 | Angela Camilla Nannen | Behavior Technician | 500 Fairway Dr, Deerfield Beach, FL 33441-1814 | 2019-10-08 |
| 1326694266 | Yocelynn Idalmi Gonzalez | Behavior Technician | 500 Fairway Dr, Deerfield Beach, FL 33441-1814 | 2019-08-15 |
| 1407311210 | Ana Yanci Olivas | Behavior Technician | 500 Fairway Dr, Deerfield Beach, FL 33441-1814 | 2019-02-06 |
| 1679078935 | Jaime Lyn Sapila | Behavior Technician | 500 Fairway Dr, Deerfield Beach, FL 33441-1814 | 2018-03-28 |
| 1205344165 | Jaclyn Albanese | Behavior Technician | 500 Fairway Dr, Deerfield Beach, FL 33441-1814 | 2018-01-12 |
| 1992210819 | Ariel Julius | Behavior Technician | 500 Fairway Dr, Deerfield Beach, FL 33441-1814 | 2017-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808639 | Rosys Paula | Family Medicine | 1100 Us-1, Deerfield Beach, FL 33441 | 2020-10-14 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1699335398 | Stephanie Palma | Behavior Technician | 500 Fairway Dr, Suite 102 Deerfield Beach, Fl 33441, Deerfield Beach, FL 33441 | 2019-06-17 |
| 1447813043 | Cassidy Burke | Behavior Technician | Butterfly Effects LLC. 500 Fairway Dr., Suite 102, Deerfield Beach, FL 33441 | 2019-04-18 |
| 1417447715 | Nicola Rotoli | Massage Therapist | 2806a Sw Natura Nlvd, Unit A, Deerfield Beach, FL 33441 | 2018-05-14 |
| 1669998076 | Tellus LLC | Home Health | 800 Fairway Dr #360, Deerfield Beach, FL 33441 | 2017-08-17 |
| 1699204958 | Christine Angelo | Behavior Technician | 500 Fairway Dr.suite 102, Deerfield Beach, FL 33441 | 2017-06-08 |
| 1053848705 | Coqui Medical Specialties | Durable Medical Equipment & Medical Supplies | 832 S.e. 8th Avenue, Deerfield Beach, FL 33441 | 2017-05-12 |
| 1114462082 | Christopher Gamboa | Physician Assistant | 1000 E Hillsboro Blvd Ste 102, Deerfield Beach, FL 33441 | 2016-12-30 |
| 1871041285 | Erica Etienne | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 33441 | 2016-09-14 |
| Find all providers in zip 33441 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467600460 | Sonya Denise Gregg | Counselor | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2008-09-03 |
| 1467050336 | Michael Frank Schuck | Counselor | 505 S Federal Hwy, Deerfield Beach, FL 33441-4109 | 2020-10-13 |
| 1588204788 | Sammy Tzabery | Counselor | 700 W Hillsboro Blvd Ste 205, Deerfield Beach, FL 33441-1612 | 2020-01-15 |
| 1972923795 | Melanie Matthews | Counselor | 500 Fairway Dr, Ste. 102, Deerfield Beach, FL 33441-1814 | 2014-04-19 |
| 1144588120 | Marcela Carneiro Millett | Counselor | 505 S Federal Hwy, Deerfield Beach, FL 33441-4109 | 2012-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588322 | Rebecca Ann Heald | Counselor | 2430 Duncan Dr, Niceville, FL 32578-2916 | 2020-11-02 |
| 1598366171 | Neurodiverse Ability Services LLC | Counselor | 608 Sw Marvin Burnett Rd, Lake City, FL 32025-4918 | 2020-11-02 |
| 1316547839 | Amber Kovach | Counselor | 8290 Matisse St, Champions Gate, FL 33896-8334 | 2020-10-26 |
| 1760081202 | Nih Holdings LLC | Counselor | 7711 N Military Trl Ste 1014, West Palm Beach, FL 33410-6506 | 2020-10-24 |
| 1346849072 | Blanca Rodriguez | Counselor | 1201 Lavender Jewel Ct, Plant City, FL 33563-2515 | 2020-10-23 |
| 1235738063 | Selena Giordano | Counselor | 1001 East Baker Street #100, Plant City, FL 33563 | 2020-10-22 |
| 1306444989 | Robert A Fahey | Counselor | 3927 Vine Tree Trl Apt A, Lake Worth, FL 33467-8540 | 2020-10-15 |
| 1952909178 | Elizabeth Leon | Counselor | 1067 Nw 119th St, North Miami, FL 33168-6240 | 2020-10-09 |
| 1518564301 | Lisa Chhabra | Counselor | 504 Pelican Ln N, Jupiter, FL 33458-8365 | 2020-10-05 |
| 1124635081 | Always Behavioral Counseling Services | Counselor | 5724 Byron Anthony Pl Apt 338, Sanford, FL 32771-8633 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | DEERFIELD BEACH |
| Zip Code | 33441 |
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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.