Craig William Clark, CRAIG CLARK, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC34874 Issued in CA

Practice address

100 N Winchester Blvd
Suite 264
Santa Clara, CA 95050-6520

Phone

(408) 296-5758

Fax

(408) 247-3976

NPI assigned

Apr 10, 2007

Sex

Male

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

Enrolled in CA

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

Specialty

Marriage and Family Therapist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245453034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WINCHESTER BLVD",
            "address_2": "SUITE 264",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506520",
            "telephone_number": "408-296-5758",
            "fax_number": "408-247-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WINCHESTER BLVD",
            "address_2": "SUITE 264",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506520",
            "telephone_number": "408-296-5758",
            "fax_number": "408-247-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "CRAIG CLARK, MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Santa Clara
• CL Recovery Center
• Dona J Clair, LMFT
• Mary Melissa Ar Clark-White, LCSW
• Brianna Clark
• Zoe R Clark, MSW
• David Clarke, MD
• James Lincoln Clarke Jr., LMFT
• Lauren Dae Claypoole, MD
• Danalyn Clemente

• Marriage & Family Therapist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.