Rebecca Clarke, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P.08595 Issued in OH

Practice address

5335 Far Hills Ave Ste 109
Dayton, OH 45429-2317

Phone

(937) 204-3322

NPI assigned

Apr 6, 2018

Sex

Female

Sole proprietor

No

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

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.

• Clarke Newlin Practice, LLC

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1972368355
  NPD Authorized official

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1104323229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 FAR HILLS AVE STE 109",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292317",
            "telephone_number": "937-204-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 FAR HILLS AVE STE 109",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292317",
            "telephone_number": "937-204-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.08595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Y. Clark, CNP
• Clark'S RX LLC
• Clarke Newlin Practice, LLC
• Dorothy W Clarke, MA RD
• Lisa-Kay Helen Clarke, CPNP-AC
• Kimberly Clary, LPN
• Class Ventures LLC
• Amy Clauser
• Charles Clauss
• Cynthia Ann Clawson, RN BSN

• Psychologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.