DR. ROGER GALEN CLARK PSY.D. NPI 1669501136

NPI Information

  • NPI: 1669501136
  • Provider Name: DR. ROGER GALEN CLARK, PSY.D.
  • Classification: Psychologist - 103TP0016X
  • Specialization: Prescribing (Medical)
  • Entity Type: Individual
  • Address: BLANCHFIELD ARMY COMMUNITY HOSPITAL
    650 JOEL DR
    FORT CAMPBELL, KY
    ZIP 42223
  • Phone: (270) 956-0129

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NPI Details

DR. Roger Galen Clark, PSY.D. is a prescribing (medical) psychologist in Fort Campbell, KY. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. DR. Roger Galen Clark, PSY.D. NPI is 1669501136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

BLANCHFIELD ARMY COMMUNITY HOSPITAL
650 JOEL DR
FORT CAMPBELL, KY
ZIP 42223-349
Phone: (270) 956-0129

The enumeration date for this NPI number is 3/2/2007 and was last updated on 5/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist1187KENTUCKYNo
2103T00000XPsychologist2800TENNESSEENo
3103TP0016XPsychologistPrescribing (Medical)322138LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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