Organization Active NPI

Jennifer Clark, Psy.D., P.C.

  • Psychologist
  • Norman, OK
National Provider Identifier
1972817781
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1039 Issued in OK
Legal business name
JENNIFER CLARK, PSY.D., P.C.
Practice address
1225 W Main St
Ste 102
Norman, OK 73069-6824
Phone
(405) 292-1000
Fax
(405) 801-2506
NPI assigned
Aug 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Jennifer Clark, PSY.D.NPI 1194855536
Title
Owner
Phone
(405) 305-6648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1039 OK Primary

Addresses

Primary practice location

1225 W Main St
Ste 102
Norman, OK 73069-6824

Mailing address

1225 W Main St Ste 102
Norman, OK 73069-6851
Phone (405) 305-6648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130309000075 OK Part B Supplier - Clinic/Group Practice 1052566403 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1972817781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W MAIN ST STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696851",
            "telephone_number": "405-305-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W MAIN ST",
            "address_2": "STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696824",
            "telephone_number": "405-292-1000",
            "fax_number": "405-801-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CLARK, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-305-6648",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.