Cheyla Romaine Clark, MPH, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

2201 Inwood Rd
Dallas, TX 75390-9323

Phone

(214) 645-2563

Fax

(214) 645-2562

NPI assigned

May 18, 2021

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

Master of Science

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1952975591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ENERGY WAY APT 4108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022676",
            "telephone_number": "770-789-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909323",
            "telephone_number": "214-645-2563",
            "fax_number": "214-645-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHEYLA",
        "middle_name": "ROMAINE",
        "credential": "MPH, MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Clark Jr., DPM
• Braden Michael Clark, CRNA
• Brian Clark
• Camille Clark, MD
• Chelsey Marie Clark
• Deborah Jean Clark, LMSW,LMFT
• Edward Williams Clark, M.D.
• Elise N. Clark, FNP
• Elizabeth Maurine Clark, APRN, FNP-BC
• Ethan Clark, MA, LPC

• Genetic Counselor (M.S.) in Dallas, TX
• Providers in Dallas, TX by specialty
• Genetic Counselor (M.S.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.