Organization Active NPI

Andrea Clark PSYD LLC

  • Clinical Psychologist
  • Norman, OK
National Provider Identifier
1861889818
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ANDREA CLARK PSYD LLC
Practice address
3750 W Main St Ste Aa
Norman, OK 73072-4645
Phone
(405) 801-2400
NPI assigned
Apr 16, 2015
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Skye Pierson
Title
Billing Specialist
Phone
(405) 301-0475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

3750 W Main St Ste Aa
Norman, OK 73072-4645

Mailing address

3750 W Main St Ste Aa
Norman, OK 73072-4645
Phone (405) 801-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150601002406 OK Part B Supplier - Clinic/Group Practice 2365763463 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

2401 Tee Cir
Norman, OK 73069

2401 Tee Cir
Ste 107
Norman, OK 73069
Phone (405) 801-2400

3750 W Main St
Ste 116
Norman, OK 73072
Phone (405) 801-2400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1861889818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W MAIN ST STE AA",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724645",
            "telephone_number": "405-801-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W MAIN ST STE AA",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724645",
            "telephone_number": "405-801-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA CLARK PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "SKYE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "405-301-0475"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.