Individual provider Active NPI

Karen Hubbard Clark, PH.D.

  • Clinical Psychologist
  • Birmingham, AL
National Provider Identifier
1235396920
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1499 Issued in AL
Practice address
2101 Magnolia Ave S
Birmingham, AL 35205-2827
Phone
(205) 705-0195
Fax
(205) 994-6013
NPI assigned
May 20, 2008
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X 1499 AL Primary

Addresses

Primary practice location

2101 Magnolia Ave S
Birmingham, AL 35205-2827

Mailing address

459 Main St Ste 101-338
Trussville, AL 35173-1416
Phone (205) 202-9619

Other practice location 1

5370 Grantswood Road
Irondale, AL 35210
Phone (205) 202-9619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317001144 AL Practitioner - Clinical Psychologist 9436671740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Trauma, Inc.Group PAC ID 7416391818, 12 clinicians

Practice addresses (Care Compare)

5961 Chalkville Mountain LN
Suite 109
Birmingham, AL 35235-3498
Phone (205) 705-0195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1499ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Trauma, Inc. CurrentSince Jan 28, 2025 Accepting new patients

Locations

1034 23rd St S
Ste 201
Birmingham, AL 35205

2101 Magnolia Ave S
Ste 320
Birmingham, AL 35205

5961 Chalkville Mountain Ln
Ste 109
Birmingham, AL 35235

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1235396920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 MAIN ST STE 101-338",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731416",
            "telephone_number": "205-202-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MAGNOLIA AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052827",
            "telephone_number": "205-705-0195",
            "fax_number": "205-994-6013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5370 Grantswood Road",
            "address_purpose": "LOCATION",
            "city": "Irondale",
            "state": "AL",
            "postal_code": "35210",
            "country_code": "US",
            "telephone_number": "205-202-9619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KAREN",
        "middle_name": "HUBBARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.