Nagma V Clark, L.P.C.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5311 Issued in LA

Practice address

11740 Dublin Blvd Ste 206
Dublin, CA 94568-2825

Phone

(925) 400-3541

NPI assigned

Apr 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1427492636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 DUBLIN BLVD STE 206",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682825",
            "telephone_number": "925-400-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 DUBLIN BLVD STE 206",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682825",
            "telephone_number": "925-400-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NAGMA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "L.P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005839",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "2744",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Allen Chu, PHD, PT
• Ellison Mindy Chu
• Dong-Chune Christopher Chung, M.D.
• Rosa J Chung, PHARM.D.
• Isaiah James Clark
• Alexus Avriona Clavelle, RBT
• Alaysia Clemons
• Theresa Cobb
• Julissa Cobos
• Koda Cochran

• Mental Health Counselor in Dublin, CA
• Providers in Dublin, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.