Clark&Associates Psychological Services, P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CLARK&ASSOCIATES PSYCHOLOGICAL SERVICES, P.C.

Practice address

16250 Northland Dr, Suite 245
16250 Northland Drive, Suite 245
Southfield, MI 48075-5227

Phone

(248) 559-2673

Fax

(248) 559-7944

NPI assigned

Jun 4, 2006

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Aurelia Foster

Title

Administrative Assistant

Phone

(248) 559-2673

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1871531400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR, SUITE 245",
            "address_2": "16250 NORTHLAND DRIVE, SUITE 245",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755227",
            "telephone_number": "248-559-2673",
            "fax_number": "248-559-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR, SUITE 245",
            "address_2": "16250 NORTHLAND DRIVE, SUITE 245",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755227",
            "telephone_number": "248-559-2673",
            "fax_number": "248-559-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK&ASSOCIATES PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "AURELIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "248-559-2673",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6301001882",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Clark
• Raynell Theresa Clark, M.A. CCC-SLP
• Tanya Marie Clark, J.D.
• Tina Clark
• Victoria Dene Clark
• Timothy Clarkson
• Classified Group LTD
• Chad Claus, D.O.
• Angela L Clauson, LMSW
• Helen F Clay-Spotser, LMSW

• Adult Mental Health Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.