DR. DAVID B CLARK (NPI# 1275614083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275614083 |
| Entity Type | Individual |
| Full Name | DR. DAVID B CLARK |
| Credential | PHD |
| Practice Address |
16216 Baxter Rd Suite 323 Chesterfield MO 63017-4770 |
| Practice Telephone | 6365378222 |
| Practice Fax Number | 6365378223 |
| Mailing Telephone | 6365378222 |
| Mailing Fax Number | 6365378223 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 00939 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| Street Address |
16216 BAXTER RD SUITE 323 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034489 | Mark Charles Kory | Dermatology | 16216 Baxter Rd, Suite 200, Chesterfield, MO 63017-4770 | 2005-09-23 |
| 1477041168 | Sophia Elizabeth Wilhelmina Strydom | Behavioral Analyst | 16216 Baxter Rd, Chesterfield, MO 63017-4770 | 2018-04-27 |
| 1336674258 | Smartage LLC | Licensed Practical Nurse | 16216 Baxter Rd, Suite 100, Chesterfield, MO 63017-4770 | 2017-04-28 |
| 1629517297 | Kelsey Sack | Speech-Language Pathologist | 16216 Baxter Rd, Chesterfield, MO 63017-4770 | 2017-02-15 |
| 1225587447 | Jesica Campbell | Nurse Practitioner | 16216 Baxter Rd, Suite 100, Chesterfield, MO 63017-4770 | 2016-09-29 |
| 1154779072 | Joseph L. Hollingsworth | Chiropractor | 16216 Baxter Rd, Ste 190, Chesterfield, MO 63017-4770 | 2016-06-01 |
| 1114394616 | Monica Uthlaut | Counselor | 16216 Baxter Rd, Ste. 205, Chesterfield, MO 63017-4770 | 2015-08-31 |
| 1568843001 | Danielle Ridolfi | Psychologist | 16216 Baxter Rd, Suite 205, Chesterfield, MO 63017-4770 | 2015-06-10 |
| 1457743734 | Chelsea Jacobs | Chiropractor | 16216 Baxter Rd, Suite 190, Chesterfield, MO 63017-4770 | 2015-02-24 |
| 1134522881 | Chesterfield Spine & Sports Medicine Center LLC | Physical Medicine & Rehabilitation | 16216 Baxter Rd, Suite 190, Chesterfield, MO 63017-4770 | 2014-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326538877 | Mary Beth Moehl | Psychologist | 10111 Krause Rd, Chesterfield, VA 23832-6573 | 2018-05-10 |
| 1134242209 | David W Bailey | Psychologist | 14733 N Outer 40, Chesterfield, MO 63017-2027 | 2007-04-06 |
| 1669599387 | Gary Frank Krapf | Psychologist | 10811 Egret Ct, Chesterfield, VA 23838-8950 | 2007-03-26 |
| 1386781771 | Karen Ann Owens | Psychologist | 46360 Gratiot Ave, Chesterfield, MI 48051-2800 | 2007-02-01 |
| 1730152471 | Robert Earl Schnidman | Psychologist | 14377 Woodlake Drive, Suite 308, Chesterfield, MO 63017 | 2006-02-13 |
| 1346212115 | John Patrick Dwyer I | Psychologist | 10109 Krause Rd, Suite 100, Chesterfield, VA 23832-6501 | 2006-02-06 |
| 1700316767 | Tyler J Auclair | Psychologist | 53869 Connor Dr, Chesterfield, MI 48051-3930 | 2017-06-13 |
| 1487920633 | Mary Andrea Declerck | Psychologist | 50630 Chesterfield Rd, Chesterfield, MI 48051-4009 | 2012-03-31 |
| 1851607709 | David Epstein | Psychologist | 10109 Krause Rd, Suite 100, Chesterfield, VA 23832-6501 | 2010-08-28 |
| 1013141134 | Brandywine Valley Consultants, Inc. | Psychologist | 8137 Lake Margaret Ter, Chesterfield, VA 23838 | 2009-05-04 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on DR. DAVID 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.