Christina E Clark, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD60139907 Issued in WA

Practice address

917 N 2ND St Unit a
Tacoma, WA 98403-3909

Phone

(206) 651-4012

Fax

(888) 974-1263

NPI assigned

Jul 21, 2008

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1962667840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N 2ND ST UNIT A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033909",
            "telephone_number": "206-651-4012",
            "fax_number": "888-974-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N 2ND ST UNIT A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033909",
            "telephone_number": "206-651-4012",
            "fax_number": "888-974-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTINA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD60139907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Clancy, PHARMD
• Grady Clapp, PHARMD.
• Michael Jeremy Delos Santos Clarion, MD
• Clark Dental Group
• Brita Ann Clark-Snustad
• David J Clark, D.D.S.
• Emily Clark
• Gary W. Clark, MD
• Henry Vondell Clark, MD
• Jacklyn M Clark, LMP

• Child & Adolescent Psychiatry Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Child & Adolescent Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.