Clark Pinson, PHD

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

020187 Issued in NY

Legal business name

CLARK PINSON, PHD

Practice address

114 N Lowell Ave
Syracuse, NY 13204-2014

Phone

(315) 514-0401

NPI assigned

Dec 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Clark Daniel Pinson, PH.D.NPI 1326405143

Title

Psychologist

Phone

(315) 514-0401

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clark Pinson, PH.D.

  • Counseling Psychologist
  • Frederick, MD
  • NPI 1326405143
  NPD (past) Authorized official

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1043618499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N LOWELL AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042014",
            "telephone_number": "315-514-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N LOWELL AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042014",
            "telephone_number": "315-514-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK PINSON, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "PINSON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "315-514-0401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "020187",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "020187",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "020187",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "020187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Clancy, NP
• Kristie Hubbard Clancy, LMSW
• Douglas Clapper
• Elizabeth Anne Clapper, OT
• Nanette D Clapper, MS,CCC-SLP
• Christopher Clark-Jacobus
• Cynthia Ann Clark-Smith, M.S.W
• Cecelia Clark
• Corrie J Clark, RN BSN
• Elaine Clark

• Health Maintenance Organization in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.