DR. MARY MCGINN CLARK (NPI# 1659374775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659374775 |
| Entity Type | Individual |
| Full Name | DR. MARY MCGINN CLARK |
| Credential | PH.D. |
| Practice Address |
10981 San Diego Mission Rd Ste 114 San Diego CA 92108-2448 |
| Practice Telephone | 6192800285 |
| Practice Fax Number | 6192800286 |
| Mailing Telephone | 6192800285 |
| Mailing Fax Number | 6192800286 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2011-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY 17897 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC 17748 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EPS004410 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958252 | Mary Beth Clark | Speech-Language Pathologist | 18 La Salle Ave, Sioux City, IA 51104-2412 | 2020-06-25 |
| 1205461266 | Mary Clark | Nurse's Aide | 229 Elmhurst Rd, Dayton, OH 45417-1420 | 2020-03-10 |
| 1366981839 | Mary Clark | Acupuncturist | 8380 Six Forks Rd Ste 203, Raleigh, NC 27615-5091 | 2017-02-16 |
| 1740698935 | Mary Christine Clark | Lactation Consultant, Non-RN | 2774 230th St, Cushing, WI 54006-3421 | 2014-07-31 |
| 1982022562 | Mary Clark | Non-emergency Medical Transport (VAN) | 2957 Brogdon Rd, Alcolu, SC 29001-8637 | 2014-04-01 |
| 1760825392 | Mary Elizabeth Clark | Doula | 8634 Oakside Ave, Commerce Township, MI 48382-3763 | 2013-04-13 |
| 1336497460 | Mary Clark | Chiropractor | 298 Federal Hill Rd, Milford, NH 03055-3553 | 2012-08-21 |
| 1730460098 | Mary Jo Clark | Specialist | 2691 Highway 62 412, Highland, AR 72542-9479 | 2011-08-31 |
| 1649559410 | Mary Jackson Clark | Counselor | 904 Washington Rd Ste A, Westminster, MD 21157-5838 | 2011-08-11 |
| 1952691461 | Mary Denise Clark | Doula | 1070 Milo Cir Apt B, Lafayette, CO 80026-3089 | 2011-04-18 |
| Street Address |
10981 SAN DIEGO MISSION RD STE 114 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-2448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063951192 | Jonmichael Sampson | Counselor | 10981 San Diego Mission Rd, Suite 110, San Diego, CA 92108-2448 | 2017-02-22 |
| 1538607890 | Gabriel Fernandez | Counselor | 10981 San Diego Mission Rd, Suite 110, San Diego, CA 92108-2448 | 2017-02-07 |
| 1396289443 | Daijanay Honore | Counselor | 10981 San Diego Mission Rd, Suite 110, San Diego, CA 92108-2448 | 2016-12-08 |
| 1952708638 | Diana Gomez | Counselor | 10981 San Diego Mission Rd, Suite 110, San Diego, CA 92108-2448 | 2014-11-25 |
| 1255746848 | David Weinberg | Counselor | 10981 San Diego Mission Rd, Suite 110, San Diego, CA 92108-2448 | 2014-06-23 |
| 1356771448 | Vianey Delreal Ochoa | Counselor | 10981 San Diego Mission Rd, Suite 110, San Diego, CA 92108-2448 | 2013-11-26 |
| 1972933190 | Mario Becerra | Counselor | 10981 San Diego Mission Rd, Suite 110, San Diego, CA 92108-2448 | 2013-11-25 |
| 1285064493 | Laura Gail Finster | Counselor | 10981 San Diego Mission Rd, Suite 110, San Diego, CA 92108-2448 | 2013-11-25 |
| 1316219827 | Megan Danial Dunn | Case Manager/Care Coordinator | 10981 San Diego Mission Rd, Ste 110, San Diego, CA 92108-2448 | 2012-01-30 |
| 1922020007 | Joyce Nease | Psychologist | 10981 San Diego Mission Rd, 114, San Diego, CA 92108-2448 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245797091 | Mindtune LLC | Psychologist | 4305 Gesner St Ste 215, San Diego, CA 92117-6677 | 2019-02-28 |
| 1780087791 | Roberta Burkett | Psychologist | 2650 Camino Del Rio N Ste 211, San Diego, CA 92108-1632 | 2014-10-03 |
| 1902047442 | Raymond-steven Fernandez | Psychologist | 4513 39th St, San Diego, CA 92116-4631 | 2009-03-12 |
| 1790901544 | Sharon Morrison-velasco | Psychologist | 2501 Angell Ave, San Diego, CA 92122-2101 | 2007-04-18 |
| 1700819174 | Forough Douraghi | Psychologist | 5176 Avenida Playa Cancun, San Diego, CA 92124-1534 | 2006-07-09 |
| 1578599031 | Pollyanna V Casmar | Psychologist | 4452 Park Blvd, Suite 310, San Diego, CA 92116-4051 | 2006-06-24 |
| 1225019227 | Harmonium | Psychologist | 10717 Camino Ruiz, Suite 104, San Diego, CA 92126-2360 | 2005-11-08 |
| 1386189488 | Karen Lese-fowler | Psychologist | 3990 Old Town Ave, Suite A208, San Diego, CA 92110-2930 | 2016-12-27 |
| 1104160043 | Bastyr University | Psychologist | 4106 Sorrento Valley Blvd, San Diego, CA 92121-1407 | 2012-11-15 |
| 1952656902 | Patricia E. Celaya | Psychologist | 3909 Centre St, San Diego, CA 92103-3410 | 2012-07-16 |
| Find all providers in SAN DIEGO | ||||
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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.