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NPI · 1356440275 · NPPES-sourced

Dr. Judith Clark PHD

ActiveClinical Psychologist
NPI Number
1356440275
Type 1 · Individual
Taxonomy Code
103TC0700X
Contact
(760) 924-8503
License CA · PSY13963
Last Updated
Enumerated
Primary practice addressCA · 93546
126 Old Mammoth Rd, Suite 214Mammoth Lakes, CA 93546
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About this NPIWhat this record shows.

NPI 1356440275 is registered to Dr. Judith Clark PHD, a Clinical Psychologist practising at 126 Old Mammoth Rd, Suite 214 in Mammoth Lakes, California. Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Judith Clark PHD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 11413861· Issued by AETNA
  • CP13963CA· Issued by MEDICARE PTAN

Medicaid

Source: NPPES public registry.

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. Judith Clark PHD accepts. To confirm in-network status with your specific health plan, contact Dr. Judith Clark PHD directly at (760) 924-8503.

Frequently asked

Yes. NPI 1356440275 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

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 (760) 924-8503.

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. Judith Clark PHD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy103TC0700X
Last updated
Enumerated
StatusActive
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