Adam Clarke, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018506 Issued in PA

Practice address

1200 Eastwood Dr Ste 2
Clarion, PA 16214

Phone

(814) 297-0735

NPI assigned

Sep 4, 2012

Last updated

Jul 19, 2018By the provider in NPPES

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Clarke Psychological LLC

  • Community/Behavioral Health Agency
  • Clarion, PA
  • NPI 1427537786
  Medicare reassignment NPD Authorized official
• Ab Counseling

  • Mental Health Counselor
  • Clarion, PA
  • NPI 1568259729
  NPD (past)

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1952650152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EASTWOOD DR STE 2",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148824",
            "telephone_number": "814-297-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EASTWOOD DR STE 2",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "16214",
            "telephone_number": "814-297-0735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "793 Old Route 119 Hwy N",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157011372",
            "country_code": "US",
            "telephone_number": "724-465-5576",
            "fax_number": "724-465-6379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ADAM",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-04",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarion Rehabilitation and Aquatic Therapy LLC
• Clarion Research Group, Inc. (Hormonal Clarity Diagnostics)
• Clarion University of Pennsylvania
• Ashley Clark, MSN
• Clarke Psychological LLC
• Sei Diazeh Cole, DO
• Community Guidance Center
• Joseph Anthony Conforto Jr., B.S.
• Eva D Conner, BS
• Sara Elizabeth Conner, MS

• Clinical Psychologist in Clarion, PA
• Providers in Clarion, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.