DR. PETER J CLARK (NPI# 1164664967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164664967 |
| Entity Type | Individual |
| Full Name | DR. PETER J CLARK |
| Credential | D.O. |
| Practice Address |
99 Beauvoir Ave Summit NJ 07901-3533 |
| Mailing Address |
Po Box 416457 Boston MA 02241-6457 |
| Practice Telephone | 9085224800 |
| Practice Fax Number | 9085224888 |
| Mailing Telephone | 9736566280 |
| Mailing Fax Number | 9732907495 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MB09216800 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MB09216800 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616485 | Peter Clark | Ophthalmology | 3601 4th St Rm 2a100, Lubbock, TX 79430-1931 | 2016-05-10 |
| 1154660314 | Peter Edward Clark | Physical Therapy Assistant | 630 Linda Ct, Palm Harbor, FL 34684-4624 | 2013-02-07 |
| 1407174998 | Peter A Clark | Social Worker | 10 Water St Ste 306, Waterville, ME 04901-6566 | 2010-05-10 |
| 1447310289 | Peter Clark | Psychologist | 203 W 21st Ave, Covington, LA 70433-3151 | 2006-12-11 |
| 1821106709 | Peter Clark | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2006-08-29 |
| 1891789087 | Peter Michael Clark | Specialist/Technologist | 23 Bridgton Rd, Westbrook, ME 04092-3653 | 2005-09-02 |
| 1679575385 | Peter Clark | Contractor | 785 Central Rd, Rye Beach, NH 03871-9005 | 2005-08-12 |
| 1346511094 | Peter James Clark | Specialist/Technologist | 502 E Boone Ave, Ad Box 66, Spokane, WA 99258-1774 | 2012-01-25 |
| 1710294434 | Peter Clark | Counselor | 519 17th St, Suite 210, Oakland, CA 94612-1527 | 2010-09-01 |
| 1528113628 | Peter Clark | Family Medicine | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | 2007-01-25 |
| Street Address |
99 BEAUVOIR AVE |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010079 | John Halperin | Psychiatry & Neurology | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2005-08-17 |
| 1902404486 | Jenna Lin Boni | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-10-15 |
| 1508483116 | Khawaja Bakhtawar | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-30 |
| 1891312658 | Odon Makonko Nsungu | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-28 |
| 1316563679 | Sheryl Thant Yu Htoo | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-23 |
| 1750906327 | Emily Findakly | Physician Assistant | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-10 |
| 1659994465 | Jefferson Isibor | Pharmacist | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-05-27 |
| 1437779493 | Jason Robert Steiner | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-20 |
| 1114556669 | Jacqueline Bobson | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-06 |
| 1508495524 | John David Yachmetz | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| Find all providers in zip 07901 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598242737 | Dr. Violina Frenkel Md LLC | Psychiatry & Neurology | 33 Overlook Rd Ste 210, Summit, NJ 07901-3562 | 2018-07-20 |
| 1275747297 | Paula Jeanne Kraft | Psychiatry & Neurology | 360 Springfield Ave Ste 308, Summit, NJ 07901-4608 | 2007-05-09 |
| 1023163359 | Integrated Behavioral Care Pa | Psychiatry & Neurology | 35 Beechwood Rd, Suite 3ab, Summit, NJ 07901 | 2007-01-25 |
| 1730231200 | Alexandra C Forman-chou | Psychiatry & Neurology | I Bc Pa 35 Beechwood Rd, Suite 3a B, Summit, NJ 07901 | 2007-01-17 |
| 1114077302 | Stewart Roy Reiter | Psychiatry & Neurology | 35 Beachwood, Ibc Pa 35 Beechwood Road Ste A B, Summit, NJ 07901 | 2007-01-11 |
| 1801945977 | Joseph William Keyser | Psychiatry & Neurology | 382 Springfield Ave, Suite 412, Summit, NJ 07901-2707 | 2007-01-09 |
| 1790853851 | Jane W Jones | Psychiatry & Neurology | 137 Summit Ave, Summit, NJ 07901-2800 | 2006-11-30 |
| 1265522460 | Lonny J Behar | Psychiatry & Neurology | 7 Union Place, Summit, NJ 07901-3656 | 2006-10-16 |
| 1265529010 | Margaret Ellen Tompsett | Psychiatry & Neurology | 332 Springfield Avenue, Summit, NJ 07901-3658 | 2006-10-05 |
| 1407959281 | Kanan S. Patrawalla | Psychiatry & Neurology | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2006-09-06 |
| Find all providers in SUMMIT | ||||
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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.