MS. ELLEN B CLARK (NPI# 1194997486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194997486 |
| Entity Type | Individual |
| Full Name | MS. ELLEN B CLARK |
| Credential | M.ED. |
| Practice Address |
4117 Liberty Ave Entrance 3 Pittsburgh PA 15224-1446 |
| Practice Telephone | 4125862578 |
| Practice Fax Number | 4125862891 |
| Mailing Telephone | 4125862578 |
| Mailing Fax Number | 4125862891 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708086 | Ellen Michelle Clark | Nurse Practitioner | 1025 S 6th St, Springfield, IL 62703-2403 | 2020-01-02 |
| 1174083596 | Ellen Margaret Clark | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3175 | 2019-03-21 |
| 1891275780 | Ellen C Clark | Behavior Technician | 7725 W 87th St, Overland Park, KS 66212-1905 | 2018-08-20 |
| 1316157399 | Ellen Marie Clark | Speech-Language Pathologist | 450 W Il Route 22, Barrington, IL 60010-7509 | 2007-05-22 |
| 1497833321 | Ellen M Clark | Psychologist | 2201 Bergenline Ave, 2nd Floor Therapeutic Nursery, Union City, NJ 07087-3582 | 2006-11-01 |
| 1114960267 | Ellen G I Clark | Pathology | 77 Pringle Way, Washoe Medical Center, Reno, NV 89502 | 2006-06-14 |
| Street Address |
4117 LIBERTY AVE ENTRANCE 3 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578753380 | Bonnie Marie Shields | Counselor | 4117 Liberty Ave, Cancer Caring Center, Pittsburgh, PA 15206 | 2007-07-27 |
| 1326272006 | Robin Joseph Sherwood | Registered Nurse | 4117 Liberty Ave, Pittsburgh, PA 15224-1446 | 2009-05-08 |
| 1699933705 | Vernon Ian Nathaniel | Psychiatry & Neurology | 4117 Liberty Ave, Pittsburgh, PA 15224-1446 | 2008-05-26 |
| 1528230208 | Rebecca Jane Camlin I | Counselor | 4117 Liberty Ave, Pittsburgh, PA 15224-1446 | 2008-04-02 |
| 1033396395 | Jack Wozniak | Counselor | 4117 Liberty Ave, Drake Annex, Pittsburgh, PA 15224-1446 | 2008-01-29 |
| 1629255070 | Mary Matlak | Counselor | 4117 Liberty Ave, Pittsburgh, PA 15224-1446 | 2008-01-29 |
| 1528245842 | Ronald Tain | Counselor | 4117 Liberty Ave, Pittsburgh, PA 15224-1446 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993325 | Dennis Lee Haynes Jr. | Counselor | 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213-3317 | 2020-08-17 |
| 1649742636 | Joseph Moore | Counselor | 2023 Kendon Dr E, Pittsburgh, PA 15221-1127 | 2019-01-02 |
| 1598253767 | Jared Paul Fretz | Counselor | 1380 Old Freeport Rd Ste 2b, Pittsburgh, PA 15238-3127 | 2018-04-24 |
| 1336663004 | Heather Eggerton | Counselor | 516 Walde Street, Pittsburgh, PA 15210 | 2017-08-03 |
| 1730603408 | Jennifer Marie Zapata | Counselor | 1391 Washington Boulevard, Pittsburgh, PA 15206 | 2017-08-03 |
| 1164942462 | Shanna L Tresatti | Counselor | 1391 Washington Blvd., Pittsburgh, PA 15206 | 2017-06-27 |
| 1457880858 | Keith Hill Sr. | Counselor | 6925 Churchland Street, Pittsburgh, PA 15206 | 2017-06-08 |
| 1588191522 | Mary Elizabeth Huber | Counselor | 7501 Penn Ave Ste 8, Pittsburgh, PA 15208-2560 | 2017-05-22 |
| 1114464740 | Valeria Londono | Counselor | 1918 S 18th St, Apt 2, Pittsburgh, PA 15203-1632 | 2017-01-20 |
| 1679020762 | Nathan Earl | Counselor | 615 Washington Rd Ste 204, Pittsburgh, PA 15228-1927 | 2016-09-06 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
Please comment or provide details below to improve the information on MS. ELLEN B CLARK.
| 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.