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NPI · 1104015155 · NPPES-sourced

Dr. Theresa Clark M.D.

ActivePsychiatry
NPI Number
1104015155
Type 1 · Individual
Taxonomy Code
2084P0800X
Contact
(970) 455-9004
License CO · DR.0061413
Last Updated
Enumerated
Primary practice addressCO · 80435
114 Village Place, St 207Dillon, CO 80435
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About this NPIWhat this record shows.

NPI 1104015155 is registered to Dr. Theresa Clark M.D., a Psychiatry practising at 114 Village Place, St 207 in Dillon, Colorado. Psychiatry is the medical specialty focused on the diagnosis, treatment, and prevention of mental health conditions, including depression, anxiety, bipolar disorder, and schizophrenia. Dr. Theresa Clark M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Theresa Clark M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Theresa Clark M.D. directly at (970) 455-9004.

Frequently asked

Yes. NPI 1104015155 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychiatry is the medical specialty focused on the diagnosis, treatment, and prevention of mental health conditions, including depression, anxiety, bipolar disorder, and schizophrenia.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (970) 455-9004.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Theresa Clark M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2084P0800X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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3 records · same addressOther providers at this location.

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Same specialtyOther Psychiatry providers in Colorado.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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