Allison Clark, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

36684 Issued in TX

Practice address

3601 N Macgregor Way
#240
Houston, TX 77004-8004

Phone

(713) 873-3875

Fax

(713) 873-3874

NPI assigned

Jun 3, 2014

Sex

Female

Sole proprietor

No

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 IL

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

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuroclinic and Assessments LLCGroup PAC ID 1658524475, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Neuroclinic and Assessments, LLC

  • Clinical Psychologist
  • McHenry, IL
  • NPI 1053673988

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1386057727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 N MACGREGOR WAY",
            "address_2": "#240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770048004",
            "telephone_number": "713-873-3875",
            "fax_number": "713-873-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N MACGREGOR WAY",
            "address_2": "#240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770048004",
            "telephone_number": "713-873-3875",
            "fax_number": "713-873-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALLISON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "36684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarity Neurology and Psychiatry, PLLC
• Clark Care LLC
• Clark Healthcare Services LLC (C Suite Health Services)
• Kimberly Clark-Washington, MED., L.P.C.
• Allen Clark IV
• Andrea Clark
• Angel Marie Clark, LPC
• Anna Laura Chae Clark, MSN
• Ashley Clark, LPC
• Benjamin Joseph Clark, M.D.

• Clinical Neuropsychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.