KATHERINE HENDERSON CLARK (NPI# 1922208339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922208339 |
| Entity Type | Individual |
| Full Name | KATHERINE HENDERSON CLARK |
| Other Name | KATHERINE ANN HENDERSON |
| Credential | PSY. D. |
| Practice Address |
1655 Elmwood Ave Rochester NY 14620-3429 |
| Practice Telephone | 5852712290 |
| Mailing Telephone | 5852712295 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
019765 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345961 | Katherine Elizabeth Clark | Licensed Practical Nurse | 764 Patriot Pkwy Apt 203, Rock Hill, SC 29730-2750 | 2020-01-08 |
| 1770146243 | Katherine T Clark | Pharmacist | 60101 Bodnar Blvd Ste 100, Mishawaka, IN 46544-9328 | 2019-04-19 |
| 1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
| 1104364231 | Katherine Mary Clark | Nurse Anesthetist, Certified Registered | 9205 122nd Ct Ne, Apt A107, Kirkland, WA 98033-5882 | 2017-02-09 |
| 1528207131 | Katherine Clark | Physical Therapist | 1630 Campus Park Dr Ste D, Monroe, NC 28112-5270 | 2009-02-05 |
| 1275791949 | Katherine Diane Clark | Counselor | 400 W Midland Ave, Suite 202, Woodland Park, CO 80863-3144 | 2008-05-29 |
| 1194749978 | Katherine Elizabeth Clark | Dentist | 130 Ben Casey Dr, Suite 105, Fort Mill, SC 29708-6567 | 2006-07-26 |
| 1144289943 | Katherine W Clark | Family Medicine | 1 Paradies Ln, New Paltz, NY 12561-4031 | 2006-03-21 |
| 1548229404 | Katherine Ann Clark | Licensed Practical Nurse | 89 Laundon St, Elyria, OH 44035-6117 | 2006-03-20 |
| 1851918783 | Katherine Clark | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-06-26 |
| Street Address |
1655 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629029434 | Mary Christine Grant | Psychologist | 1655 Elmwood Ave, Ste 135, Rochester, NY 14620 | 2006-05-15 |
| 1023483286 | P & T Chiropractic Pllc | Chiropractor | 1655 Elmwood Ave, Suite 235, Rochester, NY 14620-3429 | 2015-12-14 |
| 1740650878 | Alyson Erin Dalton | Physical Therapist | 1655 Elmwood Ave, Ste 130, Rochester, NY 14620-3429 | 2015-10-01 |
| 1518346873 | Stanley Tam | Psychologist | 1655 Elmwood Ave, Suite 202, Rochester, NY 14620-3429 | 2015-05-20 |
| 1861899973 | Peak Chiropractic of Rochester | Chiropractor | 1655 Elmwood Ave, Suite 235, Rochester, NY 14620-3429 | 2014-12-04 |
| 1437558129 | Sarah K Tirimacco Penkin | Chiropractor | 1655 Elmwood Ave, Suite 235, Rochester, NY 14620-3429 | 2014-08-19 |
| 1871902684 | E A Torrado Dds P C | Dentist | 1655 Elmwood Ave, Suite 215, Rochester, NY 14620-3429 | 2014-08-06 |
| 1295168268 | Michael Stewart | Physical Therapist | 1655 Elmwood Ave, Ste 130, Rochester, NY 14620-3429 | 2013-08-14 |
| 1063852390 | Michael Joseph Penkin | Chiropractor | 1655 Elmwood Ave, Suite 235, Rochester, NY 14620-3429 | 2013-07-01 |
| 1134467707 | Erin Schall | Physical Therapist | 1655 Elmwood Ave, Ste 130, Rochester, NY 14620-3429 | 2013-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883873 | Denise Pine | Psychologist | 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 | 2019-10-28 |
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1275017550 | Leah Rothschild | Psychologist | 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 | 2018-09-21 |
| 1639658693 | Garry Linsis Spink Jr. | Psychologist | 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 | 2018-08-10 |
| 1942798129 | Rachel Marie Rodorigo | Psychologist | 900 W University Dr Ste B3, Rochester, MI 48307-1817 | 2018-04-24 |
| 1740799162 | Douglas Andrew Raynor | Psychologist | 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 | 2017-09-28 |
| 1356861884 | Lauren P Wadsworth | Psychologist | 21 Goodway Dr, Rochester, NY 14623-3029 | 2017-06-26 |
| 1881120947 | Dayton Walsh | Psychologist | 190 Goodman St S, Rochester, NY 14607-2651 | 2017-05-11 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1275068470 | Tara Marie Augenstein | Psychologist | University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
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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.