Paul D. Clarke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1679-01 Issued in NY

Practice address

Pinnacle Behavioral Health, Ipa, LLC
1 Pinnacle Place Suite 102
Albany, NY 12203

Phone

(518) 689-0244

Fax

(518) 689-0241

NPI assigned

Jul 21, 2005

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Pinnacle Behavioral Health Ipa PLLC

  • Mental Health Counselor
  • Albany, NY
  • NPI 1447276720
  Medicare reassignment
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment
• Saratoga Hospital

  dba The Community Pharmacy at Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga SPGS, NY
  • NPI 1881924322
  NPD
• Joseph Ippolito

  dba Pinnacle Behavioral Health, IPA, LLC

  • Clinical Social Worker
  • Albany, NY
  • NPI 1720490949
  NPD (past)
• Madhu Padi

  • Psychiatry Physician
  • Latham, NY
  • NPI 1225167760
  NPD (past)
• Pinnacle Behavioral Health

  • Clinical Social Worker
  • Albany, NY
  • NPI 1346467529
  NPD (past)
• Saratoga Psychiatric and Associated Services PC

  dba Bick Wanck MD and Associates

  • Psychiatry Physician
  • Saratoga Springs, NY
  • NPI 1245414168

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1649279555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PINNACLE BEHAVIORAL HEALTH, IPA, LLC",
            "address_2": "1 PINNACLE PLACE SUITE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12203",
            "telephone_number": "518-689-0244",
            "fax_number": "518-689-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINNACLE BEHAVIORAL HEALTH, IPA, LLC",
            "address_2": "1 PINNACLE PLACE SUITE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12203",
            "telephone_number": "518-689-0244",
            "fax_number": "518-689-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "PAUL",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1679-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Clark, RPA-C
• Sara Nielsen Clark, MD
• Thomas Edward Clark, LMFT, LMFT
• Alyson Clarke
• Heather Marie Clarke, RN
• Terence Joseph Clarke, MD
• Carol Ann Clas, D.C., LIC. AC.
• Claude D. Guerra DC,PC
• Jeffrey Kenneth Claus, PA
• Erin Kathleen Clausi

• Physician Assistant in Albany, NY
• Providers in Albany, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.