CLARK&ASSOCIATES PSYCHOLOGICAL SERVICES P.C. NPI 1871531400

NPI Information

NPI: 1871531400
Provider Name: CLARK&ASSOCIATES PSYCHOLOGICAL SERVICES, P.C.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
16250 NORTHLAND DR, SUITE 245
16250 NORTHLAND DRIVE, SUITE 245
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 559-2673
Get Directions

CLARK&ASSOCIATES PSYCHOLOGICAL SERVICES, P.C. is an adult mental health clinic center in Southfield, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CLARK&ASSOCIATES PSYCHOLOGICAL SERVICES, P.C. NPI is 1871531400. The provider is registered as an organization entity type.

The provider's business location address is:

16250 NORTHLAND DR, SUITE 245
16250 NORTHLAND DRIVE, SUITE 245
SOUTHFIELD, MI
ZIP 48075-227
Phone: (248) 559-2673
Fax: (248) 559-7944

The provider's authorized official is Aurelia Foster .
The authorized official title is Administrative Assistant and has the following contact phone number (248) 559-2673.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 6/12/2008.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	6301001882	MICHIGAN	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		MICHIGAN	No
3	261QM0850X	Clinic/Center	Adult Mental Health		MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OP37560	MEDICARE PIN	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »