Dessye-Dee M Clark, ARNP, PHD

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NUR-APRN-LIC-99982 Issued in MT

Practice address

301 W Spruce St
Sound View Counseling & Assoc. PS Inc.
Missoula, MT 59802-4107

Phone

(406) 541-4436

Fax

(406) 541-4437

NPI assigned

Jul 31, 2006

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Other identifiers 3

Other names 1

• Dessye-Dee M Clark Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

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.

• Sound View Counseling & Assoc.PS, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Missoula, MT
  • NPI 1992958714
  Authorized official Same address or phone
• State of Montana

  dba Montana Veterans Home

  • Skilled Nursing Facility
  • Columbia Falls, MT
  • NPI 1356351183
  NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1801802855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W SPRUCE ST",
            "address_2": "SOUND VIEW COUNSELING & ASSOC. PS INC.",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024107",
            "telephone_number": "406-541-4436",
            "fax_number": "406-541-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W SPRUCE ST",
            "address_2": "SOUND VIEW COUNSELING & ASSOC. PS INC.",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024107",
            "telephone_number": "406-541-4436",
            "fax_number": "406-541-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DESSYE-DEE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ARNP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "RN29998",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "30002196",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-99982",
            "primary": true
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MT",
            "license": "RN29998",
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "WA",
            "license": "AP30002196",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MT",
            "license": "RN29998",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "AP30002196",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "283297",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00094578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004304872",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "30002196",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "29998",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESSYE-DEE",
            "last_name": "CLARK",
            "middle_name": "M",
            "credential": "APRN, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Clark Fork Dental
• Clark Fork Emergency Physicians PLLC
• Clark Fork Healthcare, LLC (Big Sky Home Health)
• Clark Fork Healthcare, LLC (Big Sky Hospice)
• Clark Fork Occupational Therapy
• Marissa Clark, MS, CGC
• Michael L Clark, DC
• Rita Cunneen Clark, PHARMD RPH
• Shelley Clark, DPT
• Will Clark

• Psychiatric/Mental Health Nurse Practitioner in Missoula, MT
• Providers in Missoula, MT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.