Active NPI
Harry Westley Clark, M.D.
- Psychiatry Physician
- Rockville, MD
National Provider Identifier
1467631408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 42823
- Practice address
- 1 Choke Cherry Road
Room 5-1020
Rockville, MD 20857-0001 - Phone
- (240) 276-1660
- NPI assigned
- Oct 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 42823 | MA | Primary |
Addresses
Primary practice location
1 Choke Cherry Road
Room 5-1020
Rockville, MD 20857-0001
Mailing address
1 Choke Cherry Road
Room 5-1020
Rockville, MD 20857-0001
Phone (240) 276-1660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42823 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1467631408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHOKE CHERRY ROAD",
"address_2": "ROOM 5-1020",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208570001",
"telephone_number": "240-276-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHOKE CHERRY ROAD",
"address_2": "ROOM 5-1020",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208570001",
"telephone_number": "240-276-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "HARRY WESTLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "42823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.