Clark L Dreilinger, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME17862 Issued in FL

Practice address

1111 SE Federal Hwy
Suite 230
Stuart, FL 34994-3840

Phone

(772) 221-4088

Fax

(772) 221-4089

NPI assigned

Oct 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• New Horizon of Treasure Coast, Inc.

  • Case Management Agency
  • Stuart, FL
  • NPI 1952071433
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1225026743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824406",
            "city": "SOUTH FLORIDA",
            "state": "FL",
            "postal_code": "330824406",
            "telephone_number": "954-423-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SE FEDERAL HWY",
            "address_2": "SUITE 230",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943840",
            "telephone_number": "772-221-4088",
            "fax_number": "772-221-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREILINGER",
        "first_name": "CLARK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME17862",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME17862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250213500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Hickox Drake
• Lucy Drake
• Teressa Leigh Draves
• Elizabeth Drawbaugh, ARNP
• Karl E Drehobl, M.D.
• Denise Autumn Drellich, SLP
• Camille A. Drennan, PT, MSPT, MPA
• Denise A Dreyer
• Amy Elizabeth Drinkwater, OTR/L
• Alysha Drouin-Leavitt

• Psychiatry Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.