Anne S. Clark, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

04-22838 Issued in KS

Practice address

10500 Barkley St Ste 220
Overland Park, KS 66212-1838

Phone

(913) 738-9235

Fax

(913) 738-9285

NPI assigned

Jul 13, 2006

Last updated

Jan 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2026 through Oct 1, 2028

Specialty

Psychiatry

Education

University of Kansas School of Med (KC/Wich/Sal), 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health Associates, LLC

  • Community/Behavioral Health Agency
  • Mission, KS
  • NPI 1255519096
  NPD (past)
• Linda Divine, Lscsw, LLC

  • Clinical Social Worker
  • Prairie Village, KS
  • NPI 1982778940
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1023033560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 BARKLEY ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121838",
            "telephone_number": "913-738-9235",
            "fax_number": "913-738-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 BARKLEY ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121838",
            "telephone_number": "913-738-9235",
            "fax_number": "913-738-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANNE",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-22838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Carter Claiborn, PH.D.
• Claire Selin, LLC
• Clarified Nutrition LLC
• Andrew Benjamin Clark, ATC
• Andrew Jeffrey Clark, DC
• Carolyn Mae Clark, M.D.
• Cindy Clark, COTA
• David Frederick Clark, MD
• David W Clark, M.D.
• Dionna Rae Clark, TEMPORARY- LICENSED

• Psychiatry Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.