Michelle Clark, PSYD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2737 West Cecil Avenue
Delano, CA 93215

Phone

(661) 721-2345

NPI assigned

Feb 6, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Corrections and Rehabilitation-Headquarters

  dba North Kern State Prison

  • Pharmacy
  • Delano, CA
  • NPI 1942835756
  NPD (past)
• North Kern State Prison

  • Prison Health Clinic/Center
  • Delano, CA
  • NPI 1710350384
  NPD (past)

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1497179881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 WEST CECIL AVENUE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "93215",
            "telephone_number": "661-721-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 WEST CECIL AVENUE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "93215",
            "telephone_number": "661-721-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Soot-Chuen Chin, D.D.S, M.P.H
• Lien Chiu, DDS
• Guillermo Cisneros Jr.
• Citas Medical Transportation Services LLC
• Matthew Hunter Clark, DPT
• Clinica Sierra Vista (Delano Community Health Center)
• Clinica Sierra Vista (West Delano Dental Center)
• Clinica Sierra Vista (Delano High School)
• Clinica Sierra Vista (Delano Community Health Center)
• Clinica Sierra Vista

• Student in an Organized Health Care Education/Training Program in Delano, CA
• Providers in Delano, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.