DR. PETER J CLARK


Address: 99 Beauvoir Ave, Summit, NJ 07901-3533
Phone: 9085224800

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).

Provider Overview

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

Taxonomy

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

Other Providers PETER CLARK

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

Office Location

Street Address 99 BEAUVOIR AVE
City SUMMIT
State NJ
Zip Code 07901-3533

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SUMMIT
Zip Code 07901

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Dataset Information

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.

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