Clarke Newlin Practice, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CLARKE NEWLIN PRACTICE, LLC

Practice address

5335 Far Hills Ave Ste 109
Dayton, OH 45429-2317

Phone

(937) 952-5009

Fax

(937) 952-5026

NPI assigned

Feb 15, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rebecca W Clarke, PSY.D.NPI 1104323229

Title

Clinical Psychologist

Phone

(937) 952-5009

Specialties & licenses 2

Addresses

Other names 1

• A Centered Practice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Clarke, PSY.D.

  • Psychologist
  • Dayton, OH
  • NPI 1104323229
  NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1972368355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 FAR HILLS AVE STE 109",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292317",
            "telephone_number": "937-952-5009",
            "fax_number": "937-952-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 FAR HILLS AVE STE 109",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292317",
            "telephone_number": "937-952-5009",
            "fax_number": "937-952-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE NEWLIN PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "937-952-5009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Centered Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina Diane Clark
• Shane Renee Clark
• Stephen Jay Clark, D.D.S., M.S.
• Yvonne Y. Clark, CNP
• Clark'S RX LLC
• Dorothy W Clarke, MA RD
• Lisa-Kay Helen Clarke, CPNP-AC
• Rebecca Clarke, PSY.D.
• Kimberly Clary, LPN
• Class Ventures LLC

• Clinical Psychologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.