Katherine Clancy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB# 1-15-20956 Issued in CA

Practice address

38 Executive Park Ste 200
Irvine, CA 92614-4709

Phone

(415) 302-2768

NPI assigned

Mar 4, 2016

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

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1619337524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 FREEMAN AVE APT 8",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908145788",
            "telephone_number": "415-302-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 EXECUTIVE PARK STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144709",
            "telephone_number": "415-302-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BACB# 1-15-20956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citrus Valley Physicians Group
• City of Hope National Medical Center
• City of Irvine
• CL Wellness Inc.
• Karen L Cladis, LMFT
• Clark a Izu DDS Inc
• Eric Norberg Clark, M.D.
• Natalie Christine Clark
• Paulette Frances Clark, LMFT
• Sydney Clark

• Behavior Analyst in Irvine, CA
• Providers in Irvine, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.