Erin Elizabeth Clark, PSY.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 48385 Issued in CA

Practice address

2850 Pio Pico Dr
Suite J
Carlsbad, CA 92008-1554

Phone

(760) 683-9058

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Erin Elizabeth Bakewell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1760699128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 BLACK WALNUT DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920787984",
            "telephone_number": "760-683-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 PIO PICO DR",
            "address_2": "SUITE J",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081554",
            "telephone_number": "760-683-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BAKEWELL",
            "middle_name": "ELIZABETH",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Clark
• Alina Rose Clark
• Carolyn Clark, AC-CRNP-PMH
• Clayton Rosell Clark, D.D.S.
• Elysia Clark
• Lacie Clark
• Meghan Clark
• Christen Brooke Claytor
• Sarada Cleary
• Guerline Cledor, NP

• Marriage & Family Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.