Perry Dinari Clark, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

110594 Issued in CA

Practice address

2672 Bayshore Pkwy Ste 618
Mountain View, CA 94043-1017

Phone

(408) 890-7554

NPI assigned

Dec 10, 2018

Sex

Male

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1922579440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 EL CAMINO REAL STE 121",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950513002",
            "telephone_number": "408-890-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 BAYSHORE PKWY STE 618",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431017",
            "telephone_number": "408-890-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PERRY",
        "middle_name": "DINARI",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Katherine Clark, MD, MAS
• F Landon Clark, MD MPH
• Hannah R Clark, PT
• Judson Clark
• Madeleine Clark
• Sally A Clark, MFT
• Jennifer Rae Clayman, LMFT
• Jamie Lynn Clifford, OTR/L
• Marianne Coffey
• Stephen Cohen, MD

• Marriage & Family Therapist in Mountain View, CA
• Providers in Mountain View, 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 Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.