Sonja Dana Clark, PSYD, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0067412 Issued in NM

Practice address

6000 Summer NE
Albuquerque, NM 87110

Phone

(505) 710-4323

Fax

(505) 265-3844

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Mexico Professionals Resource Network, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1386953271
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1740290733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 21403",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871541403",
            "telephone_number": "505-710-4323",
            "fax_number": "505-265-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SUMMER NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-710-4323",
            "fax_number": "505-265-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SONJA",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "PSYD, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "00067412",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0067412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Travis Clark, M.D.
• Ross Clark, MD
• Sabrina Clark
• Serina Clark
• Shane Thomas Clark, DMD
• Tarron James Clark, LAT, ATC
• Teresa Watkins Clark, LPCC
• Trevor Clark, D.C.
• Veralyn Elizabeth Clark
• Gray B Clarke, MD

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.