Cristen Clare Clark, BACHELORS PSYCHOLOGY

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

615 Piikoi St Ste 105
Honolulu, HI 96814-3139

Phone

(808) 596-8433

NPI assigned

Nov 7, 2012

Last updated

Nov 7, 2012By 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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1073867354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17424",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968170424",
            "telephone_number": "808-548-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143139",
            "telephone_number": "808-596-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CRISTEN",
        "middle_name": "CLARE",
        "name_prefix": "Ms.",
        "credential": "BACHELORS PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Lee DDS Inc.
• Clarishealth Hawaii LLC (ClarisHealth Hawaii Urgent Care Honolulu)
• Clarity Counseling and Wellness
• Maria Georgia Clariza
• Clark Orthopedic Rehabilitation and Education (Core 808)
• Daniel K Clark
• Deborah Lee Clark
• John Clark
• Kinsey Lee Clark
• Trina Gayle Clark, RN

• Behavior Analyst in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.