William Francis Clark, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

WC406513 Issued in MI

Practice address

2000 Chambers Road
Caro, MI 48723-9296

Phone

(989) 673-3191

Fax

(989) 673-0064

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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.

• State of Michigan Office of Financial Management

  • Psychiatric Hospital
  • Caro, MI
  • NPI 1194767996
  NPD (past)
• State of Michigan Office of Financial Management

  • Skilled Nursing Facility
  • Chesterfield, MI
  • NPI 1497342653
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467565028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS ROAD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239296",
            "telephone_number": "989-673-3191",
            "fax_number": "989-673-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS ROAD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239296",
            "telephone_number": "989-673-3191",
            "fax_number": "989-673-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "WILLIAM",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "WC406513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2607900701",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol L Starling
• Matthew John Carrier, CPHT
• Cynthia Chapman
• Chiropractic Wellness Center of Caro PLLC
• Tamara Claes
• Keith Clement, LMSW
• Laurence Tan Co, M.D.
• Paula Cheryl Coats-Garrett, M.A., CCC-SLP
• Gloria Coats
• William Andrew Coffey, LMSW

• All providers in Caro, MI
• Psychiatry Physician in Michigan

• 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.