SHELIA ANN CLARK (NPI# 1982716254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982716254 |
| Entity Type | Individual |
| Full Name | SHELIA ANN CLARK |
| Credential | PH.D. |
| Practice Address |
2108 24th St Ste 4 Bakersfield CA 93301-3748 |
| Mailing Address |
Po Box 1929 Frazier Park CA 93225-1929 |
| Practice Telephone | 6616443943 |
| Practice Fax Number | 6612421583 |
| Mailing Telephone | 6616443943 |
| Mailing Fax Number | 6612421583 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY13425 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13425 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC23878 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY134253 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003372269 | Shelia Denea Clark | Counselor | 1103 Ne Elm St, Prineville, OR 97754-1664 | 2019-02-13 |
| Street Address |
2108 24TH ST STE 4 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336638956 | Integrity Family Health Network | Psychologist | 5401 Business Park S Ste 124, Bakersfield, CA 93309-0714 | 2018-05-09 |
| 1215316229 | Mary Valenti | Psychologist | 1522 18th St Ste 300, Bakersfield, CA 93301-4433 | 2015-05-22 |
| 1316354475 | Michael Earl Kirk | Psychologist | 5500 Ming Ave Ste 120, Bakersfield, CA 93309-4619 | 2014-07-21 |
| 1255742581 | Michael Musacco | Psychologist | 5401 Business Park S Ste 126, Bakersfield, CA 93309-0714 | 2014-05-08 |
| 1811323793 | Lisa Cristina Welch | Psychologist | 3201 Park Bend Ct, Bakersfield, CA 93309 | 2013-09-23 |
| 1528409554 | Anthony Allain | Psychologist | 10703 Sunset Ranch Dr, Bakersfield, CA 93311-9162 | 2013-07-06 |
| 1093052748 | Karen Joy Warrick | Psychologist | 4939 Calloway Dr Ste 104, Bakersfield, CA 93312-9721 | 2013-01-14 |
| 1417230335 | Jeanne Card | Psychologist | 5401 Business Park S Ste 107, Bakersfield, CA 93309-0713 | 2011-09-27 |
| 1255561999 | Brenda Peichen Chiu | Psychologist | 9530 Hageman Rd, Ste B. #169, Bakersfield, CA 93312-3959 | 2009-07-15 |
| 1700079316 | Corey Stephen Gonzales | Psychologist | 5001 E Commercecenter Dr Ste 255, Bakersfield, CA 93309 | 2007-08-27 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on SHELIA ANN 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.