MARK W CLARK (NPI# 1114081577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114081577 |
| Entity Type | Individual |
| Full Name | MARK W CLARK |
| Credential | PSY.D. |
| Practice Address |
7507 Ne 51st St Vancouver WA 98662-6007 |
| Mailing Address |
Po Box 82819 Portland OR 97282-0819 |
| Practice Telephone | 3609061190 |
| Practice Fax Number | 3609061193 |
| Mailing Telephone | 5032335405 |
| Mailing Fax Number | 5032332696 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PY2226 | WA | Behavioral Health & Social Service Providers |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
PY2226 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 164936 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912324351 | Mark Clark | Podiatrist | 2300 Coronado Rd, Pueblo, CO 81003-1840 | 2014-03-24 |
| 1710265160 | Mark Clark | Technician, Other | 6646 Highway 50, Gerald, MO 63037-2700 | 2011-08-02 |
| 1215255682 | Mark P Clark | Counselor | 11 Brandywine Dr, Cincinnati, OH 45246-3809 | 2010-05-11 |
| 1609006022 | Mark H. Clark | Pharmacist | 2901 N Dallas Parkway, Suite 420, Plano, TX 75093 | 2009-07-20 |
| 1588856827 | Mark Brian Clark | Registered Nurse | 3420 Box Elder, Evergreen, CO 80439-7841 | 2007-08-10 |
| 1154549061 | Mark W Clark | Nurse Anesthetist, Certified Registered | 1201 First St, Kennett, MO 63857 | 2007-04-23 |
| 1720119167 | Mark Clark | Counselor | 1366 W Indian Hills Dr Unit 69, Saint George, UT 84770-1885 | 2007-03-08 |
| 1205989605 | Mark Daniel Clark | Anesthesiology | 3735 Norton Hills Rd, Norton Shores, MI 49441-4469 | 2007-01-19 |
| 1407903693 | Mark Allen Clark | Nurse Practitioner | 111 Park Hill Dr # A, Fredericksburg, VA 22401-3357 | 2007-01-03 |
| 1447352828 | Mark Wayne Clark | Dentist | G-3550 Flushing Rd, Flint, MI 48504 | 2006-09-05 |
| Street Address |
7507 NE 51ST ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679669873 | Western Psychological and Counseling Services PC | Social Worker | 7507 Ne 51st St, Vancouver, WA 98662-6007 | 2006-10-05 |
| 1215534128 | Elizabeth Knight | Social Worker | 7507 Ne 51st St, Vancouver, WA 98662-6007 | 2020-10-04 |
| 1639600869 | Christy Stinton | Counselor | 7507 Ne 51st St, Vancouver, WA 98662-6007 | 2017-03-21 |
| 1518404292 | Frederick Daniel Graf | Counselor | 7507 Ne 51st St, Vancouver, WA 98662-6007 | 2017-01-19 |
| 1205283330 | Renee Danielle Lovejoy | Counselor | 7507 Ne 51st St, Vancouver, WA 98662-6007 | 2016-05-18 |
| 1699132316 | Donnette K Vantries | Counselor | 7507 Ne 51st St, Vancouver, WA 98662-6007 | 2016-01-26 |
| 1114396025 | Jeffrey Alan Knight | Social Worker | 7507 Ne 51st St, Vancouver, WA 98662-6007 | 2015-09-21 |
| 1891192316 | Heidi Petra Davisson | Counselor | 7507 Ne 51st St, Vancouver, WA 98662 | 2014-11-26 |
| 1558607994 | Bradley Roe Shumate | Counselor | 7507 Ne 51st St, Vancouver, WA 98662-6007 | 2012-12-12 |
| 1154665842 | Lowell Terry Bell | Genetic Counselor, MS | 7507 Ne 51st St, Vancouver, WA 98662-6007 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
| 1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
| 1790217578 | Allison Rose Chambers-dixson | Psychologist | 750 Officers Row, Vancouver, WA 98661-3845 | 2017-03-30 |
| 1225408941 | Peter Weiss | Psychologist | 237 Ne Chkalov Dr Ste 118, Vancouver, WA 98684-5054 | 2015-10-07 |
| 1912281254 | Linda Lee | Psychologist | 13220 Nw 33rd Ave, Vancouver, WA 98685-2288 | 2011-10-05 |
| 1215241781 | Chrystal Joy Agnor | Psychologist | 10708 Ne 90th Ct, Vancouver, WA 98662-1455 | 2010-07-27 |
| 1093040743 | Gregory Allen May | Psychologist | 400 E Evergreen Blvd Ste 209, Vancouver, WA 98660-3264 | 2009-10-14 |
| 1780826289 | Kelly Ross Fielding | Psychologist | 201 E 19th St, Vancouver, WA 98663-3301 | 2009-03-30 |
| 1174764732 | Cecilia M Dominguez | Psychologist | 2101 Ne 139th St Ste 265, Vancouver, WA 98686-2311 | 2009-03-11 |
| 1265684765 | Gary Seeman | Psychologist | 9901 Ne 7th Ave Ste B231, Vancouver, WA 98685-4538 | 2008-10-15 |
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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.