Robert Clarke

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

91187 Issued in CA

Practice address

4405 W Riverside Dr Ste 208
Burbank, CA 91505-4050

Phone

(747) 273-4618

NPI assigned

Nov 6, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1245708486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR STE 208",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054050",
            "telephone_number": "747-273-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR STE 208",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054050",
            "telephone_number": "747-273-4618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4405 W Riverside Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054050",
            "country_code": "US",
            "telephone_number": "747-273-4618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathryn Clabaugh
• Ryan Clagg
• Ryan Claravall
• Denisia Clark
• Brendan James Clarke
• Claudia Ghisa MD, Professional Corporation
• Kaela Clay Murphy
• Clear Life LLC
• Clear Path Iop Center Inc
• Jocelyn Rae Clegg, MFT

• Marriage & Family Therapist in Burbank, CA
• Providers in Burbank, 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 Dec 10, 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.