DR. CHRISTOPHER SHADBURN CLARK


Address: 777 37th St, Vero Beach, FL 32960-4873
Phone: 7727787217

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
ME80173 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 261068000 05

Other Providers CHRISTOPHER CLARK

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

Office Location

Street Address 777 37TH ST
City VERO BEACH
State FL
Zip Code 32960-4873

Providers in the same location

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
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Providers in the same zip code

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
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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
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

Competitor

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City VERO BEACH
Zip Code 32960

Improve Information

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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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