Jeffrey Clark, PSY.D

ActiveIndividual ProviderClinical Psychologist
NPI issued: November 2, 2005

Quick Facts

NPI Number
1063403822
TypeIndividual
StatusActive
SpecialtyClinical Psychologist
Taxonomy103TC0700X — Clinical Psychologist
Phone
(307) 674-4462
StateWY

NPI Validation Status: Verified

Valid 10-digit NPI number (1063403822)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (November 2, 2005)
Data source: CMS NPPES

Provider Overview

JEFFREY CLARK, PSY.D is a Clinical Psychologist provider based in Sheridan, WY who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063403822
Provider TypeIndividual Provider
GenderMale
CredentialPSY.D
StatusActive
Enumeration DateNovember 2, 2005

Practice Location

CitySheridan
StateWY
ZIP Code82801-4121
Phone(307) 674-4462

Specialties & Licenses

★ Primary
SpecialtyClinical Psychologist
Taxonomy Code103TC0700X
License StateWY

Mailing Address

CitySheridan
StateWY
ZIP Code82801-4121
Phone(307) 674-4462
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1063403822 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1063403822for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063403822 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Clinical Psychologist

Specialists in Clinical Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
75,968
Clinical Psychologist Providers in the US

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People Also Ask

What is Jeffrey Clark's NPI number?
Jeffrey Clark's NPI number is 1063403822, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jeffrey Clark's NPI currently active?
Yes, Jeffrey Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Jeffrey Clark specialize in?
Jeffrey Clark specializes in Clinical Psychologist. The healthcare taxonomy code associated with this specialty is 103TC0700X.
Where does Jeffrey Clark practice?
Jeffrey Clark practices in Sheridan, WY 82801-4121.
When was Jeffrey Clark's NPI issued?
Jeffrey Clark's NPI was issued on November 2, 2005.
What is Jeffrey Clark's provider type?
Jeffrey Clark is registered as an Individual Provider under CMS NPI Type 1.