DR. CHRISTOPHER SHADBURN CLARK (NPI# 1184721912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184721912 |
Entity Type | Individual |
Full Name | DR. CHRISTOPHER SHADBURN CLARK |
Credential | MD |
Practice Address |
777 37th St Vero Beach FL 32960-4873 |
Mailing Address |
906 Tulip Ln Vero Beach FL 32963-2101 |
Practice Telephone | 7727787217 |
Mailing Telephone | 7722341060 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME80173 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 261068000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
1801383351 | Christopher Clark | Case Management | 43a Richfield Rd, Upper Darby, PA 19082-2517 | 2018-04-20 |
1285088385 | Christopher Clark | Occupational Therapist | 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 | 2016-04-15 |
1912322694 | Christopher W Clark | Military Health Care Provider | G544 C Street, Camp Lejuene, NC 28542 | 2014-03-04 |
1144657248 | Christopher Alex Clark | Counselor | 900 Corbitt Dr, Wilmore, KY 40390-1096 | 2013-10-03 |
1427480490 | Christopher James Clark | Counselor | 2817 E 97th Pl Apt 1506, Tulsa, OK 74137-7334 | 2013-08-01 |
1912341892 | Christopher Michael Clark | Otolaryngology | 48 Medical Park Dr E Ste 153, Birmingham, AL 35235-3459 | 2013-04-23 |
1992053474 | Christopher Tad Clark | Counselor | 1471 Dewar Dr Ste 204, Rock Springs, WY 82901-5826 | 2012-08-15 |
1215257217 | Christopher David Clark | Physical Medicine & Rehabilitation | 1165 Imperial Dr Ste 103, Hagerstown, MD 21740-6555 | 2010-06-02 |
1497983332 | Christopher Lee Clark | Military Health Care Provider | 5179 Malmstrom Ave, Nellis Afb, NV 89191-6126 | 2009-06-30 |
Street Address |
777 37TH ST |
City | VERO BEACH |
State | FL |
Zip Code | 32960-4873 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073599841 | Larry James | Physician Assistant | 777 37th St, Suite B-107, Vero Beach, FL 32960-4873 | 2005-12-22 |
1720528508 | Vero Psychiatry, Pllc | Clinic/Center | 777 37th St, Suite B-106, Vero Beach, FL 32960-4873 | 2017-02-27 |
1992137848 | Jaclyn M Moore | Licensed Practical Nurse | 777 37th St, Suite B107, Vero Beach, FL 32960-4873 | 2013-08-02 |
1740620525 | Four Seasons Psychological Services Inc | Psychologist | 777 37th St, Suite B107, Vero Beach, FL 32960-4873 | 2013-06-26 |
1386921104 | Theodor V.b. Von Zielinski, M.d., P.a. | Specialist | 777 37th St, C104, Vero Beach, FL 32960-4873 | 2011-11-08 |
1457635773 | Jpmmh Enterprises of Vero Beach, LLC | Physician Assistant | 777 37th St, Suite B-107, Vero Beach, FL 32960-4873 | 2011-10-05 |
1023324050 | Betsy Mcclure Screws | Nurse Practitioner | 777 37th St, Suite C-107, Vero Beach, FL 32960-4873 | 2010-08-27 |
1477882223 | Ana Esther Taveras Pantaleon | Internal Medicine | 777 37th St, Suite C-107, Vero Beach, FL 32960-4873 | 2009-12-08 |
1154591279 | Mini Clinic of Vero Beach LLC | Clinic/Center | 777 37th St, Suite B103, Vero Beach, FL 32960-4873 | 2008-03-04 |
1457559460 | Healing Hands | Massage Therapist | 777 37th St, B106, Vero Beach, FL 32960-4873 | 2007-07-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
Find all providers in zip 32960 |
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 |
---|---|---|---|---|
1164620845 | Cara Marie Yergen | Psychiatry & Neurology | 840 37th Pl Ste 2, Vero Beach, FL 32960-6502 | 2007-07-05 |
1114147261 | Kenneth L Director Md Pa | Psychiatry & Neurology | 2525 20th Street, Vero Beach, FL 32960-3026 | 2007-04-30 |
1275559783 | William John Johns IIi | Psychiatry & Neurology | 9300 Highway A1a, Suite 202, Vero Beach, FL 32963-4575 | 2006-07-15 |
1871552570 | Srinivas C Yerneni | Psychiatry & Neurology | 1190 37th St, Vero Beach, FL 32960-6507 | 2006-03-21 |
1538148911 | Liana Urfer | Psychiatry & Neurology | 635 17th St, Vero Beach, FL 32960-6236 | 2006-01-12 |
1407191208 | Felicia Carol Howard | Psychiatry & Neurology | 1190 37th St, Vero Beach, FL 32960-6507 | 2012-12-05 |
1053619858 | Marlene Ann Marie Aking | Psychiatry & Neurology | 1545 9th St Sw, Vero Beach, FL 32962-4312 | 2011-03-03 |
1235396326 | Erwin F Ramos | Psychiatry & Neurology | 333 17th St, Suite Q, Vero Beach, FL 32960-5670 | 2008-05-17 |
1174707145 | Raymond Nuredini Dean | Psychiatry & Neurology | 1000 36th Street, Indian River Medical Center, Vero Beach, FL 32960 | 2007-12-26 |
1871689729 | Joseph J.altieri Md P.a. | Psychiatry & Neurology | 1255 37th St, Suite A, Vero Beach, FL 32960-6550 | 2006-10-05 |
Find all providers in VERO BEACH |
City | VERO BEACH |
Zip Code | 32960 |
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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.