Active NPIIndividual provider

Mr. Christopher J Clark, DO

Psychiatry & Neurology, Psychiatry in Augusta, Maine

NPI Number1770084634
Practice location
1 VA Ctr, Augusta, ME 04330-6795
Fax
—
Last updated
May 1, 2024

Christopher James Clark is a Psychiatry & Neurology, Psychiatry based in Augusta, ME. Christopher James Clark practices in Augusta, ME and has the professional credentials of DO. The NPI Number for Christopher James Clark is 1770084634 and holds a License No. 0551 (SD). The current practice location address for Christopher James Clark is 1 VA Ctr, Augusta, ME 04330-6795 and can be reached out via phone at 800-698-2411.

Provider Profile Details

NPI Number
1770084634
Provider Name
Christopher James Clark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1 VA Ctr, Augusta, ME 04330-6795
Phone Number
800-698-2411
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
February 26, 2018
Last Update Date
May 1, 2024
Certification Date
May 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 VA Ctr
Augusta, ME 04330-6795
State
Maine
Zip
04330-6795
Phone Number
800-698-2411
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
4400 W 69TH St
Sioux Falls, SD 57108-8170
City
Sioux Falls
State
SD
Zip
57108-8170
Phone Number
605-322-5737

License Information

License Number (1)
0551
License State (1)
SD
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
18809
License State (2)
ND
Taxonomy (2)
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 Mr. Christopher J Clark, DO?

The NPI number of Mr. Christopher J Clark, DO is 1770084634. It was assigned on February 26, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Christopher J Clark, DO?

Mr. Christopher J Clark, DO is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in SD under license number 0551.

Where does Mr. Christopher J Clark, DO practice?

The practice location is 1 VA Ctr, Augusta, ME 04330-6795. The office can be reached at 800-698-2411 (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 1770084634 directly on the NPPES registry website.

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