Active NPI
Terri Patrice Clark, CNM, PHD
- Midwife
- New Haven, CT
National Provider Identifier
1013909050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 000058
- Practice address
- 100 Church St S
New Haven, CT 06519-1703 - Phone
- (203) 737-2546
- Fax
- (203) 785-6455
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 000058 | CT | Primary |
Addresses
Primary practice location
100 Church St S
New Haven, CT 06519-1703
Mailing address
141 Cannon St
Hamden, CT 06518-2512
Phone (203) 287-9055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000058 | CT | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1013909050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 CANNON ST",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065182512",
"telephone_number": "203-287-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHURCH ST S",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191703",
"telephone_number": "203-737-2546",
"fax_number": "203-785-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "TERRI",
"middle_name": "PATRICE",
"credential": "CNM, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CT",
"license": "000058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.