Deborah A Clark, RN, CS, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

153934 Issued in MA

Practice address

3 Essex Green Dr
Peabody, MA 01960-2913

Phone

(781) 307-6094

Fax

(781) 334-4196

NPI assigned

Dec 2, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Neuroeducation

  • Legal Medicine
  • Bradford, MA
  • NPI 1528229580
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396729331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BISHOPS LN",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401340",
            "telephone_number": "781-334-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ESSEX GREEN DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602913",
            "telephone_number": "781-307-6094",
            "fax_number": "781-334-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "RN, CS, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "153934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Cimino, IBCLC
• Siobhan J Cintron
• City of Peabody
• City of Peabody
• City of Peabody
• Meaghan Clarke, PT, DPT
• Jeffrey Owen Clayman, MD
• Ashley Clement
• Kathleen Marie Cliffe, NP
• Lori Anne Cline, PMHNP

• Psychiatric/Mental Health Nurse Practitioner in Peabody, MA
• Providers in Peabody, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.