DR. KATHRYN LEIGH CLARK (NPI# 1568628535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568628535 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN LEIGH CLARK |
| Credential | PSY.D. |
| Practice Address |
100 8th Ave Brooklyn NY 11215-1554 |
| Practice Telephone | 7186239125 |
| Mailing Telephone | 7186239125 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
012553-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013467588 | Kathryn Jan Clark | Dentist | 4110 River Rd Nw, Washington, DC 20016-4618 | 2016-10-10 |
| 1750449252 | Kathryn M Clark | Optometrist | 2101 Jacob St. Suite 201, Valley Prof. Center South, Wheeling, WV 26003-6390 | 2006-12-05 |
| 1790861847 | Kathryn Marie Clark | Physical Therapist | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2006-10-31 |
| 1992745954 | Kathryn M Clark | Dietitian, Registered | 221 Island Ave, Suite 101, San Diego, CA 92101-6936 | 2006-06-07 |
| 1013476928 | Kathryn Clark | Student in an Organized Health Care Education/Training Program | 1 Akron General Ave, Akron, OH 44307-2432 | 2019-03-19 |
| 1861978488 | Kathryn Clark | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-07-17 |
| 1750898706 | Kathryn Evalyn Clark | Student in an Organized Health Care Education/Training Program | 600 North Wolfe Street, The Johns Hopkins Hospital, Baltimore, MD 21287 | 2017-12-29 |
| 1891193736 | Kathryn M Clark | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2014-12-09 |
| 1821434317 | Kathryn Anne Clark | Counselor | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2013-05-11 |
| 1013292218 | Kathryn Clark | Pharmacist | 1000 Hugh Ward Blvd, Flowood, MS 39232-6600 | 2011-10-19 |
| Street Address |
100 8TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11215-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493584 | Lakshmi Menon | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York-presbyterian Brooklyn Methodis, Brooklyn, NY 11215 | 2020-06-26 |
| 1083234785 | Yalda Hazrat | Student in an Organized Health Care Education/Training Program | 5066th Street, Brooklyn, NY 11215 | 2020-04-22 |
| 1548815384 | Brittany Dalbow | Counselor | 732 Carroll Street, Garden Apt, Brooklyn, NY 11215 | 2019-08-08 |
| 1669032504 | Bilal Ghassan Jaradat | Student in an Organized Health Care Education/Training Program | 506 6th St, Nyp Brooklyn Methodist Hospital, Brooklyn, NY 11215 | 2019-06-13 |
| 1598322547 | Abeer Ashfaq | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York Presbyterian Brooklyn Methodis, Room 3113, Brooklyn, NY 11215 | 2019-05-24 |
| 1508422809 | Racha Cassard | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-05-13 |
| 1972066884 | Nourhan Arafa Kika | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 | 2019-04-08 |
| 1891258703 | Mountasir El-tohami | Student in an Organized Health Care Education/Training Program | New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 | 2019-04-08 |
| 1386106938 | Anita Krish | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-04-03 |
| 1497237549 | Elizabeth Hopkins | Social Worker | 439 9th Street, Suite 1a, Brooklyn, NY 11215 | 2018-09-05 |
| Find all providers in zip 11215 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630631 | Juliet Lisa Collingwood | Psychologist | 471 13th St, Brooklyn, NY 11215-5206 | 2020-02-11 |
| 1013488766 | Harvey Zeichner | Psychologist | 186 Joralemon St Fl 2, Brooklyn, NY 11201-4326 | 2018-12-06 |
| 1487019097 | Paul Mccabe | Psychologist | 427 7th Ave, #2, Brooklyn, NY 11215-7359 | 2015-12-24 |
| 1801201074 | James Poole | Psychologist | 278 Humboldt St, Apt 4r, Brooklyn, NY 11206 | 2014-06-26 |
| 1215291281 | Kristin Klahr | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2012-06-25 |
| 1073843462 | Jacqueline Sue Degroat | Psychologist | 816 Ditmas Ave, Brooklyn, NY 11218-5204 | 2010-01-06 |
| 1538368477 | Leona M. Jaglom | Psychologist | 102 Garfield Pl, Brooklyn, NY 11215-2003 | 2007-07-11 |
| 1396844924 | Yelena Razdolskaya | Psychologist | 2785 W 5th St Apt 10e, Brooklyn, NY 11224-4612 | 2006-09-21 |
| 1487268074 | Brittany Bess | Psychologist | 483 Clermont Ave, Brooklyn, NY 11238-2253 | 2020-09-02 |
| 1083199616 | Vivian Song | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2018-09-29 |
| Find all providers in BROOKLYN | ||||
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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.