Ginger Clark, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19222 Issued in CA

Practice address

5762 Bolsa Ave
Suite 107
Huntington Beach, CA 92649-1172

Phone

(714) 898-0362

Fax

(714) 893-3267

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associated Therapists, Inc.

  • Psychologist
  • Huntington Beach, CA
  • NPI 1801977319
  NPD (past)
• Autism 360 Support LLC

  • Clinical Social Worker
  • Huntington Beach, CA
  • NPI 1639802382
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952335507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5762 BOLSA AVE",
            "address_2": "SUITE 107",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491172",
            "telephone_number": "714-898-0362",
            "fax_number": "714-893-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5762 BOLSA AVE",
            "address_2": "SUITE 107",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491172",
            "telephone_number": "714-898-0362",
            "fax_number": "714-893-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GINGER",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Clabough
• Clara Health Care Inc. (BrightStar Home Health, BrightStar Care of Huntington Beach)
• Clarity Eye Group
• Anne C Clark, PT
• Dale Thomas Clark, D.C.
• Megan Clark
• Taylor Clark
• Trevor Clark
• Clean Start Recovery Inc
• Clear Reflections Psychol Assocs

• Psychologist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.