AMY PATRICE CLARK (NPI# 1144872854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144872854 |
| Entity Type | Individual |
| Full Name | AMY PATRICE CLARK |
| Practice Address |
2525 Wallingwood Dr Building 1 Suite 208 Austin TX 78746 |
| Mailing Address |
1212 Country Rd Blanco TX 78606-5281 |
| Practice Telephone | 5129753233 |
| Mailing Telephone | 5129753233 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
71649 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640085 | Amy Clark | Nurse Practitioner | 1641 Highway 19e Byp, Elizabethton, TN 37643-4646 | 2014-05-01 |
| 1386988194 | Amy J. Clark | Registered Nurse | 731 18th Ave, San Francisco, CA 94121-3824 | 2012-11-16 |
| 1104121318 | Amy Beth Clark | Nurse Practitioner | 5197 Georgetown Rd, Franklin, PA 16323-4807 | 2011-01-19 |
| 1568766756 | Amy Sue Clark | Speech-Language Pathologist | 6 Erica Ct, Pueblo, CO 81001-1074 | 2011-01-02 |
| 1124328570 | Amy Leigh Clark | Social Worker | 1950 Trenton St, #412, Denver, CO 80220-2064 | 2010-11-01 |
| 1437461191 | Amy J Clark | Speech-Language Pathologist | 3609 Western Ave, Mattoon, IL 61938-2040 | 2010-07-10 |
| 1215257498 | Amy Clark | Occupational Therapy Assistant | 2770 Juniper Dr, Batesville, AR 72501-7801 | 2010-06-10 |
| 1881818656 | Amy Elizabeth Clark | Speech-Language Pathologist | 1027 Hiland St, Monticello, KY 42633-1370 | 2007-04-12 |
| 1023188018 | Amy Clark | Physical Therapist | 9381 East Stockton Blvd, Ste 108, Elk Grove, CA 95624 | 2006-11-08 |
| 1134236631 | Amy Clark | Physical Therapist | 506 Ne State Route 291, Lees Summit, MO 64086-2533 | 2006-08-23 |
| Street Address |
2525 WALLINGWOOD DR BUILDING 1 SUITE 208 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730144098 | Teresa Elise Orman | Psychologist | 2525 Wallingwood Dr, Suite 13 B, Austin, TX 78746-6900 | 2006-04-19 |
| 1376141945 | Jopling Nutrition | Dietitian, Registered | 2525 Wallingwood Dr, Austin, TX 78746-6900 | 2020-10-15 |
| 1710489117 | Stage of Life Counseling LLC | Counselor | 2525 Wallingwood Dr, Austin, TX 78746-6900 | 2018-03-02 |
| 1922516103 | Austin Whole Child Therapy | Community/Behavioral Health | 2525 Wallingwood Dr, Austin, TX 78746-6900 | 2018-01-22 |
| 1821500182 | Eliza Schindler | Social Worker | 2525 Wallingwood Dr, Austin, TX 78746-6900 | 2017-10-26 |
| 1427579762 | Kristen St Clair Miciotto | Counselor | 2525 Wallingwood Dr, Austin, TX 78746-6900 | 2017-06-27 |
| 1568903292 | Stephanie Lynn Walts-osma | Counselor | 2525 Wallingwood Dr, Austin, TX 78746-6900 | 2017-03-14 |
| 1700326568 | Michael C Bell Dds PC | Clinic/Center | 2525 Wallingwood Dr, Unit 11, Austin, TX 78746-6900 | 2017-02-27 |
| 1568905412 | Katherine Abney | Counselor | 2525 Wallingwood Dr, Suite 1503, Austin, TX 78746-6900 | 2016-11-27 |
| 1952851214 | Anisty Mirasol | Social Worker | 2525 Wallingwood Dr, Suite 901, Austin, TX 78746-6900 | 2016-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951675 | Caitlin R Battell | Counselor | 12805 Hughes St, Austin, TX 78732-1833 | 2020-10-27 |
| 1316546187 | Cathi Heare | Counselor | 1502 Ranch Road 620, Austin, TX 78734-7873 | 2020-10-22 |
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1366040958 | Grace Wood | Counselor | 1621 E 6th St Apt 2212, Austin, TX 78702-3327 | 2020-10-15 |
| 1871191379 | Alexis Losch | Counselor | 13740 Research Blvd Ste L5, Austin, TX 78750-1833 | 2020-10-15 |
| 1518573880 | Brenda Lee Rodriguez | Counselor | 11001 S 1st St Apt 225, Austin, TX 78748-6765 | 2020-09-21 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| 1780290494 | Britney Juliane Watson | Counselor | 10701 S Interstate 35 Apt 113, Austin, TX 78747-1777 | 2020-09-17 |
| 1154936235 | David Barrett | Counselor | 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 | 2020-09-15 |
| 1669084943 | Lutheran Social Services of The South, Inc. | Counselor | 10601 Derecho Drive, Austin, TX 78737-1013 | 2020-08-19 |
| Find all providers in AUSTIN | ||||
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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.