Clarke Neurology a Professional Corporation

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

A72641 Issued in CA

Legal business name

CLARKE NEUROLOGY A PROFESSIONAL CORPORATION

Practice address

400 Newport Center Dr
Ste 310
Newport Beach, CA 92660-7601

Phone

(949) 701-2811

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Teryn Bree Clarke, M.D.

Title

President

Phone

(949) 701-2811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1346780905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-701-2811",
            "fax_number": "949-644-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-701-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE NEUROLOGY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "TERYN",
        "authorized_official_middle_name": "BREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-701-2811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "A72641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Clark, PSY.D.
• Keren Louise Clark, LMFT
• Linda Clark, APRN-BC
• Matthew H Clark, M.D.
• Sean Paul Clark, D.C.
• Teryn B Clarke, M.D.
• Kerstin Jacqueline Claunch, PA-C
• William Touchstone Clayton, MD
• Clear Mind Marriage and Family Therapy, Inc
• Joy Ostensen Cleary, LCSW, PPSC

• Behavioral Neurology & Neuropsychiatry Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.