Active NPIIndividual provider

Michelle Clark, PHD

Psychologist, Clinical in Wellesley Hills, Massachusetts

NPI Number1013892421
Practice location
396 Washington St # 266, Wellesley Hills, MA 02481-6209
Fax
—
Last updated
August 6, 2025

Michelle Clark is a Psychologist, Clinical based in Wellesley Hills, MA. Michelle Clark practices in Wellesley Hills, MA and has the professional credentials of PHD. The NPI Number for Michelle Clark is 1013892421 and holds a License No. 5175 (CT). The current practice location address for Michelle Clark is 396 Washington St # 266, Wellesley Hills, MA 02481-6209 and can be reached out via phone at 646-684-7433.

Provider Profile Details

NPI Number
1013892421
Provider Name
Michelle Clark
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
396 Washington St # 266, Wellesley Hills, MA 02481-6209
Phone Number
646-684-7433
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
August 6, 2025
Last Update Date
August 6, 2025
Certification Date
August 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
396 Washington St # 266
Wellesley Hills, MA 02481-6209
Zip
02481-6209
Phone Number
646-684-7433
Wellesley Hills, MA 02481Get directions →

Provider Business Mailing Address Details

Address
4 Glastonbury Pl Unit 308
Glastonbury, CT 06033-4485
City
Glastonbury
State
CT
Zip
06033-4485
Phone Number
646-684-7433

License Information

License Number
5175
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle Clark, PHD?

The NPI number of Michelle Clark, PHD is 1013892421. It was assigned on August 6, 2025 and is currently active in the NPPES registry.

What is the specialty of Michelle Clark, PHD?

Michelle Clark, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 5175.

Where does Michelle Clark, PHD practice?

The practice location is 396 Washington St # 266, Wellesley Hills, MA 02481-6209. The office can be reached at 646-684-7433 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013892421 directly on the NPPES registry website.

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