Clark Institute

Primary specialty

PsychologistTaxonomy code 103T00000X

License

182788 Issued in NY

Legal business name

CLARK INSTITUTE

Practice address

3303 Applewood Drive
Freehold, NJ 07728-4922

Phone

(732) 431-1514

Fax

(609) 395-0120

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Barbara J Clark, PHD, FAPA

Title

President

Phone

(732) 431-1514

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1174665681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 APPLEWOOD DRIVE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284922",
            "telephone_number": "732-431-1514",
            "fax_number": "609-395-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 APPLEWOOD DRIVE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284922",
            "telephone_number": "732-431-1514",
            "fax_number": "609-395-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-431-1514",
        "authorized_official_credential": "PHD, FAPA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "182788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APSA",
            "identifier": "106486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APH",
            "identifier": "1706",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAAP",
            "identifier": "83704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACH",
            "identifier": "999012391",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lauren Clark, BCBA
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• Psychologist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.