Faye M Clark, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT 35154 Issued in CA

Practice address

4875 Broadway
Suite 125
Sacramento, CA 95820-1500

Phone

(916) 875-1055

Fax

(916) 875-1190

NPI assigned

Jul 7, 2006

Sex

Female

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326070418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 KEKIN ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961505154",
            "telephone_number": "530-558-5139",
            "fax_number": "916-875-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 BROADWAY",
            "address_2": "SUITE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201500",
            "telephone_number": "916-875-1055",
            "fax_number": "916-875-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "FAYE",
        "middle_name": "M",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 35154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Clark
• David Robert Clark, P.T.
• Daysia Clark
• Deann B. Clark, L.C.S.W.
• Edward Derby Clark I
• Fred Allen Clark, PHD, LMFT
• Isaiah James Clark, MD
• James Russell Clark, CADCA
• Jessica Lynne Clark, LCSW
• Jill Jeffers Clark, MA, PHD

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.