Evelyn Frances Clark, L.M.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4354 Issued in NM

Practice address

217 E Palace Ave
Santa Fe, NM 87501-2025

Phone

(505) 984-8830

NPI assigned

Mar 7, 2008

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

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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1831369677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CALLE LAGARTIJAS",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439504",
            "telephone_number": "505-670-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E PALACE AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012025",
            "telephone_number": "505-984-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "EVELYN",
        "middle_name": "FRANCES",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Saks (C. Saks Behavior Therapy Services)
• Christopher Todd Clancy, M.D.
• Clarice K. Pick, D.D.S., P.C.
• Abra Clark-Van Brunt
• Christopher A Clark
• Ginna Clark, LPCC
• Sarha Lillian Clark, LMSW
• Corey D Clay, MD, PHD
• Michael Barnett Clayman, DDS
• Benjamin Thomas Clayton del Toro, PHARM.D., PH.D.

• Specialist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.