Heather Jordon Clark PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 7620 Issued in FL

Legal business name

HEATHER JORDON CLARK PHD LLC

Practice address

600 SW 3Rd St
Suite 2270
Pompano Beach, FL 33060-6932

Phone

(954) 960-8900

Fax

(954) 960-8888

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Heather Jordon Clark, PH.D.

Title

Owner

Phone

(954) 960-8900

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Marie Desmidt, MS LMFT

  • Marriage & Family Therapist
  • Fort Lauderdale, FL
  • NPI 1770685760
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1740456300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SW 3RD ST",
            "address_2": "SUITE 2270",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606932",
            "telephone_number": "954-960-8900",
            "fax_number": "954-960-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SW 3RD ST",
            "address_2": "SUITE 2270",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606932",
            "telephone_number": "954-960-8900",
            "fax_number": "954-960-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER JORDON CLARK PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-960-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Heard, LCSW
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• Rhonda Lynn Heath, APRN-PMHNP-BC, FNP
• Heavenly Home Care LLC
• Hecker Dermatology Group P.a.
• David Jay Hecker, MD
• Melanie Hecker, MD
• Norma L Hedelund, M.D.

• Clinical Psychologist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.