Clarie Emily Deierhoi-Clark, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY31224 Issued in CA

Practice address

2535 Kettner Blvd Ste 2B1
San Diego, CA 92101-1253

Phone

(619) 512-9451

NPI assigned

Sep 5, 2014

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

Other names 1

• Claire Emily Clark Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Deierhoi-Clark Psychology, a Professional Organization

  • Adult Mental Health Clinic/Center
  • San Diego, CA
  • NPI 1306534219
  NPD Authorized official

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1083015333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 KETTNER BLVD STE 2B1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011253",
            "telephone_number": "619-512-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 KETTNER BLVD STE 2B1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011253",
            "telephone_number": "619-512-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIERHOI-CLARK",
        "first_name": "CLARIE",
        "middle_name": "EMILY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "CLARK",
            "middle_name": "EMILY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Russell William Dehnel, PH.D.
• Matthew E Dehner, PHARM. D
• Wendy Kristine Dehrab, RDH
• Midelys Anel Deida Acevedo, CFY-SLP
• Deierhoi-Clark Psychology, a Professional Organization
• Elizabeth Anne Jarmon Deig, LMFT
• Patricia Deignan, LCSW
• Jonathan Andrew Deinard, NURSE PRACTITIONER
• Susan Kay Deininger, LCSW
• Danya Deiranieh, OD

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.