DR. ANDREA RACHELE CLARK (NPI# 1912034596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912034596 |
| Entity Type | Individual |
| Full Name | DR. ANDREA RACHELE CLARK |
| Credential | PSY.D. |
| Practice Address |
1818 W Lindsey St Ste C120 Norman OK 73069-4169 |
| Practice Telephone | 4058012400 |
| Practice Fax Number | 4057011185 |
| Mailing Telephone | 4058012400 |
| Mailing Fax Number | 4057011185 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
970 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200036470-A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182309 | Andrea K Clark | Occupational Therapist | 920 Goldenrod Ln, Hickman, NE 68372-9509 | 2018-07-30 |
| 1407238660 | Andrea Clark | Contractor | 2300 Seaman St, Apt. 101, Toledo, OH 43605-1952 | 2015-06-24 |
| 1114359049 | Andrea Clark | Physical Therapist | 531 Madison St, Albany, CA 94706-1116 | 2013-08-02 |
| 1003124223 | Andrea Nicole Clark | Licensed Practical Nurse | 9869 State Route 141, Kitts Hill, OH 45645-8649 | 2010-09-22 |
| 1295057362 | Andrea Serina Clark | Speech-Language Pathologist | 7497 Oak Tree Ln, Spring Hill, FL 34607-2324 | 2010-02-17 |
| 1336369602 | Andrea Walser Clark | Counselor | 157 Walser Way, Advance, NC 27006-7341 | 2007-04-27 |
| 1477593580 | Andrea Clark | Counselor | 120 W 57th St, 8th Floor, New York, NY 10019-3320 | 2006-06-07 |
| 1558999672 | Andrea Clark | Registered Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2020-04-01 |
| 1306359948 | Andrea Clark | Counselor | 10 Southard St, Trenton, NJ 08609-1020 | 2017-11-06 |
| 1861937989 | Andrea Clark | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2016-12-28 |
| Street Address |
1818 W LINDSEY ST STE C120 |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417100181 | Bryan Joseph Ray | Psychologist | 2405 Palmer Cir Ste 100, Norman, OK 73069-6351 | 2008-10-28 |
| 1316098734 | Merrie Michal Elisens | Psychologist | 222 Oliphant Ave, Suite 230, Norman, OK 73026-3701 | 2007-01-13 |
| 1275692071 | Carol A. Terry | Psychologist | 1006 24th Ave Nw Ste 100, Norman, OK 73069-6344 | 2006-12-07 |
| 1922039007 | Edith K Ragland | Psychologist | 1125 N Porter Ave Ste 303, Norman, OK 73071-6443 | 2006-07-06 |
| 1790720191 | Candace S. Mccaffrey | Psychologist | 510 24th Ave Sw, Norman, OK 73069-5106 | 2006-06-19 |
| 1083657274 | Darline Thorson | Psychologist | 1800 N Interstate Dr Ste 111, Norman, OK 73072-2995 | 2006-06-14 |
| 1215970074 | Martin L Krimsky | Psychologist | 2416 Tee Cir, Norman, OK 73069-6378 | 2006-06-13 |
| 1396731667 | Anna M Campion | Psychologist | 1818 W Lindsey St, Bldg C, Ste 200/208, Norman, OK 73069-4159 | 2005-09-22 |
| 1184075418 | Martin Krimsky Phd Inc | Psychologist | 419 W Gray St, Norman, OK 73069-7117 | 2016-06-28 |
| 1861889818 | Andrea Clark Psyd LLC | Psychologist | 2401 Tee Cir, Norman, OK 73069-6207 | 2015-04-16 |
| Find all providers in NORMAN | ||||
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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.