Dr. Ian Clark, PSYD
Psychologist, Clinical in Leeds, Massachusetts
1588099170- Practice location
- 421 N Main St, Leeds, MA 01053-9764
- Phone
- 413-584-4040
- Fax
- —
- Last updated
- September 26, 2023
Ian Clark is a Psychologist, Clinical based in Leeds, MA. Ian Clark practices in Leeds, MA and has the professional credentials of PSYD. The NPI Number for Ian Clark is 1588099170 and holds a License No. 10454 (MA). The current practice location address for Ian Clark is 421 N Main St, Leeds, MA 01053-9764 and can be reached out via phone at 413-584-4040.
Provider Profile Details
- NPI Number
- 1588099170
- Provider Name
- Ian Clark
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 421 N Main St, Leeds, MA 01053-9764
- Phone Number
- 413-584-4040
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 13, 2013
- Last Update Date
- September 26, 2023
- Certification Date
- September 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 421 N Main St
Leeds, MA 01053-9764 - City
- Leeds
- State
- Massachusetts
- Zip
- 01053-9764
- Phone Number
- 413-584-4040
Provider Business Mailing Address Details
- Address
- 421 N Main St
Leeds, MA 01053-9764 - City
- Leeds
- State
- MA
- Zip
- 01053-9764
- Phone Number
- 413-584-4040
License Information
- License Number
- 10454
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Alan J Bernhardt, PHDPsychologist, Clinical · NPI 1508877044
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Frequently Asked Questions
What is the NPI number of Dr. Ian Clark, PSYD?
The NPI number of Dr. Ian Clark, PSYD is 1588099170. It was assigned on September 13, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Ian Clark, PSYD?
Dr. Ian Clark, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 10454.
Where does Dr. Ian Clark, PSYD practice?
The practice location is 421 N Main St, Leeds, MA 01053-9764. The office can be reached at 413-584-4040 (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 1588099170 directly on the NPPES registry website.