Matthew D Clark (NPI# 1811001126, PAC ID# 8921004615) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1811001126 |
| PAC ID by PECOS | 8921004615 |
| Professional Enrollment ID | I20061020000391 |
| Full Name | Matthew D Clark |
| Organization Legal Name | HRA PSYCHOLOGICAL SERVICES PC |
| Address |
3940 Peninsular Dr Se Suite 230 Grand Rapids MI 49546-6187 |
| Phone Number | 6164580692 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 8820994031 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 | 6164580692 | HRA PSYCHOLOGICAL SERVICES PC |
| 3940 Peninsular Dr Se, Grand Rapids, MI 49546-6187 | 6164580692 | HRA PSYCHOLOGICAL SERVICES PC |
| Organization Legal Name | HRA PSYCHOLOGICAL SERVICES PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrill E Graham | Clinical Social Worker | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Omar L Mangrum | Psychologist, Clinical | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Thomas M Spahn | Psychologist, Clinical | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Matthew M Ready | Clinical Social Worker | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Thomas C Fuller | Psychologist, Clinical | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Robert J Shaffer | Psychologist, Clinical | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Amy L Jarchow | Psychologist, Clinical | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Street Address |
3940 PENINSULAR DR SE SUITE 230 |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49546-6187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrill E Graham | Clinical Social Worker | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Omar L Mangrum | Psychologist, Clinical | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Thomas M Spahn | Psychologist, Clinical | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Matthew M Ready | Clinical Social Worker | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Thomas C Fuller | Psychologist, Clinical | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Robert J Shaffer | Psychologist, Clinical | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Amy L Jarchow | Psychologist, Clinical | Hra Psychological Services PC | 3940 Peninsular Dr Se, Suite 230, Grand Rapids, MI 49546-6187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Mushlock | Clinical Social Worker | Pine Rest Christian Mental Health Services | 877 Forest Hills Ave Se, Pine Rest Forest Hills Clinic, Grand Rapids, MI 49546 |
| David W Hamilton | Psychologist, Clinical | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546 | |
| Elizabeth Ruth Smith | Clinical Social Worker | 616 Counseling Professional Corporation | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546 |
| Shawn L Gauthier | Clinical Social Worker | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546-2137 | |
| Emily M. English | Obstetrics/gynecology | Metropolitan Hospital | 4055 Cascade Rd Se, Metro Hlth Gynecologic Oncology, Grand Rapids, MI 49546-2149 |
| Lydia J Sutton | Nurse Practitioner | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Scott A Baar | Nurse Practitioner | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Nathan J Andrews | Emergency Medicine | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Lorraine M Therrien | Certified Registered Nurse Anesthetist | Anesthesia Medical Consultants, PC | 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 |
| George D Pommer | Psychologist, Clinical | 500 Cascade W Pkwy Se, Suite 100, Grand Rapids, MI 49546-2164 | |
| Find all physicians in zip 49546 | |||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | GRAND RAPIDS + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Matthew D Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.