Active NPIIndividual provider

Katherine C Clark, MD

Psychiatry & Neurology, Psychiatry in Woburn, Massachusetts

NPI Number1548402100
Practice location
500 Unicorn Park Dr, Woburn, MA 01801-3377
Fax
—
Last updated
December 8, 2022

Katherine C Clark is a Psychiatry & Neurology, Psychiatry based in Woburn, MA. Katherine C Clark practices in Woburn, MA and has the professional credentials of MD. The NPI Number for Katherine C Clark is 1548402100 and holds a License No. 249883 (MA). The current practice location address for Katherine C Clark is 500 Unicorn Park Dr, Woburn, MA 01801-3377 and can be reached out via phone at 800-331-1476.

Provider Profile Details

NPI Number
1548402100
Provider Name
Katherine C Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
500 Unicorn Park Dr, Woburn, MA 01801-3377
Phone Number
800-331-1476
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2009
Last Update Date
December 8, 2022
Certification Date
December 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Unicorn Park Dr
Woburn, MA 01801-3377
City
Woburn
Zip
01801-3377
Phone Number
800-331-1476
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
500 Unicorn Park Dr
Woburn, MA 01801-3377
City
Woburn
State
MA
Zip
01801-3377
Phone Number
800-331-1476

License Information

License Number
249883
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Katherine C Clark, MD?

The NPI number of Katherine C Clark, MD is 1548402100. It was assigned on March 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Katherine C Clark, MD?

Katherine C Clark, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 249883.

Where does Katherine C Clark, MD practice?

The practice location is 500 Unicorn Park Dr, Woburn, MA 01801-3377. The office can be reached at 800-331-1476 (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 1548402100 directly on the NPPES registry website.

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