CARLA GAFF CLARK (NPI# 1538273826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538273826 |
| Entity Type | Individual |
| Full Name | CARLA GAFF CLARK |
| Credential | EDD, HSPP |
| Practice Address |
3111 W Jackson St Muncie IN 47304-4371 |
| Practice Telephone | 7652840879 |
| Practice Fax Number | 7652841480 |
| Mailing Telephone | 7652840879 |
| Mailing Fax Number | 7652841480 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEAM BCBS | 000000210033 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982890414 | Carla Marie Clark | Physical Therapy Assistant | 709 W Channel Islands Blvd, Suite 157, Port Hueneme, CA 93041-2130 | 2007-09-19 |
| 1114385606 | Carla Clark | Counselor | 2440 Dawnlight Ave, Columbus, OH 43211-1934 | 2016-01-29 |
| 1073892832 | Carla Beth Clark | Dietitian, Registered | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2011-08-11 |
| 1013205434 | Carla Christine Clark | Speech-Language Pathologist | 3200 Broadway Blvd, Suite 250, Garland, TX 75043-1573 | 2011-07-19 |
| 1750399093 | Carla M Clark | Social Worker | 1907 Johnson St, Jennings, LA 70546-3627 | 2006-08-03 |
| Street Address |
3111 W JACKSON ST |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003886524 | Robert E Hayes | Psychologist | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-01-26 |
| 1871654137 | Rebecca Juanette Moredock-mueller | Psychiatry & Neurology | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-12-12 |
| 1265524383 | Central Indiana Ob/gyn, LLC | Obstetrics & Gynecology | 3111 W Jackson St, Suite 200, Muncie, IN 47304-4371 | 2006-09-28 |
| 1740384809 | Robert E Johnson | Social Worker | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-09-11 |
| 1285747592 | L Stanley Wenck | Psychologist | 3111 W Jackson St, Muncie, IL 47304-4371 | 2006-08-17 |
| 1659485993 | Christal Howe Helvering | Social Worker | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-08-17 |
| 1881707206 | Arika Miracle Strock | Social Worker | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-08-17 |
| 1962515304 | June Payne | Psychologist | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-08-17 |
| 1578676839 | Bradley E Hartman | Counselor | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-08-17 |
| 1689787855 | Ceola Digby-berry | Psychologist | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699003749 | Christine Henry | Psychologist | 4900 N Wheeling Ave, Suite 1, Muncie, IN 47304-7000 | 2009-12-01 |
| 1932399524 | Donald Richard Nicholas | Psychologist | Ball State Univ, Department of Counseling Psychology, Tc622, Muncie, IN 47306-1099 | 2007-07-30 |
| 1184707556 | Vietnam Veterans Family Assistance Center | Psychologist | 723 W Centennial Ave, Muncie, IN 47303-2974 | 2006-10-22 |
| 1982717385 | Wayne Miracle | Psychologist | 413 S. Liberty St., Muncie, IN 47305-2341 | 2006-08-17 |
| 1114954062 | Robyn Kittrell | Psychologist | 1904 West Royale Drive, Muncie, IN 47304-2264 | 2006-06-27 |
| 1982630596 | Quinton Thomas Edwards, Jr. | Psychologist | 707 W University Ave, Muncie, IN 47303-3865 | 2006-06-24 |
| 1417953670 | Jodi Lynn Nixon | Psychologist | 1904 W. Royale Dr., Muncie, IN 47304-2664 | 2005-06-22 |
| 1710500574 | Brandy Latrice Pugh | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-05-27 |
| 1558900753 | Ashley Hutchison | Psychologist | 2205 N Wheeling Ave, Muncie, IN 47303-1602 | 2020-01-06 |
| 1225524481 | Shari Mathews | Psychologist | 1806 W Royale Dr, Muncie, IN 47304-2243 | 2018-07-10 |
| Find all providers in MUNCIE | ||||
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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.