Allison Clark, PH.D., ABPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1602 Issued in HI

Practice address

1775 Forrestal Dr
Norfolk, VA 23551-2400

Phone

(757) 836-1621

NPI assigned

Sep 2, 2011

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1124309299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSC BOX 21010",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285451010",
            "telephone_number": "910-467-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 FORRESTAL DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235512400",
            "telephone_number": "757-836-1621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4389 Beaufort Road",
            "address_purpose": "LOCATION",
            "city": "Havelock",
            "state": "NC",
            "postal_code": "28532",
            "country_code": "US",
            "telephone_number": "252-466-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 BREWSTER BLVD",
            "address_2": "NAVAL HOSPITAL",
            "address_purpose": "LOCATION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "country_code": "US",
            "telephone_number": "910-450-4159",
            "fax_number": "910-450-4194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "PH.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Norfolk
• City of Norfolk
• City of Norfolk
• City Wide Enterprises
• Allen Anthony Ciuffo, M.D.
• Amy Leigh Clark
• Brittany Ann Clark
• Chimere L Clark, DNP, APRN, WHNP-BC
• Jennifer Clark, CRNA
• Linda Delores Townes Clark, LCSW, D.MIN

• Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.