MARY ANN CLARK PH D & ASSOCIATES PA (NPI# 1407030018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407030018 |
| Entity Type | Organization |
| Organization Name | MARY ANN CLARK PH D & ASSOCIATES PA |
| Practice Address |
300 Riverside Dr E Suite 2000 Bradenton FL 34208-1008 |
| Practice Telephone | 9417468822 |
| Practice Fax Number | 9417468844 |
| Mailing Telephone | 9417468822 |
| Mailing Fax Number | 9417468844 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | DR. MARY ANN CLARK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9417468822 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0004772 | FL | Behavioral Health & Social Service Providers |
| Street Address |
300 RIVERSIDE DR E SUITE 2000 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526578 | Mary Ann Clark | Psychologist | 300 Riverside Dr E, Ste 2000, Bradenton, FL 34208-1023 | 2005-05-31 |
| 1831594720 | Kylee Davis | Nurse Practitioner | 300 Riverside Dr E, Bradenton, FL 34208-1008 | 2014-11-04 |
| 1912316217 | Mcr Health, Inc. | Clinic/Center | 300 Riverside Dr E, Suite 2010, Bradenton, FL 34208-1008 | 2014-08-12 |
| 1023422391 | Verimed Health Group Bradenton LLC | Clinic/Center | 300 Riverside Dr E, Suite 3900, Bradenton, FL 34208-1008 | 2014-06-16 |
| 1962843029 | Daley and Associates Primemed of Tampa Bay LLC | Internal Medicine | 300 Riverside Dr E, Ste 2600, Bradenton, FL 34208-1008 | 2013-07-17 |
| 1639439979 | Mcr Health, Inc. | Family Medicine | 300 Riverside Dr E, Suite 1400, Bradenton, FL 34208-1008 | 2012-05-21 |
| 1457639387 | Mcr Health, Inc. | Podiatrist | 300 Riverside Dr E, Suite 1500, Bradenton, FL 34208-1008 | 2011-07-26 |
| 1275844003 | Andy Victor Chi | Podiatrist | 300 Riverside Dr E, Ste 1500, Bradenton, FL 34208-1008 | 2010-06-26 |
| 1699824649 | Jennifer L Vesper Md Pa | Dermatology | 300 Riverside Dr E, Suite #2200, Bradenton, FL 34208-1008 | 2007-01-09 |
| 1891893863 | Naveen Acharya | Internal Medicine | 300 Riverside Dr E, Ste 2010, Bradenton, FL 34208-1008 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881006310 | Bryant Psychological Services, Inc | Psychologist | 1923 Saint George Dr, Bradenton, FL 34208-1537 | 2014-06-02 |
| 1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
| 1558490987 | Robert J Greene | Psychologist | 5190 26th St W Ste F, Bradenton, FL 34207-2200 | 2007-03-02 |
| 1194889907 | Michael Barry Lipscomb | Psychologist | 12505 Cara Cara Loop, Bradenton, FL 34212-2949 | 2006-12-19 |
| 1073672333 | Debra K Carter | Psychologist | 4835 27th St West, Suite 125, Bradenton, FL 34207 | 2006-12-06 |
| 1619906799 | Cassie Jo Leutzinger | Psychologist | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2006-07-01 |
| 1336131945 | Jennie Lynne Robb | Psychologist | 9070 58th Drive East #102, Bradenton, FL 34202 | 2005-08-19 |
| 1174526578 | Mary Ann Clark | Psychologist | 300 Riverside Dr E, Ste 2000, Bradenton, FL 34208-1023 | 2005-05-31 |
| 1194294181 | Betsy Elsasser | Psychologist | 379 6th Ave W, Bradenton, FL 34205-8820 | 2018-11-19 |
| 1376098673 | Pamela Denison | Psychologist | 379 6th Ave W, Bradenton, FL 34205-8820 | 2016-08-17 |
| Find all providers in BRADENTON | ||||
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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.