TERRELL A CLARK PHD
NPI 1043283724
Psychologist - Clinical Child & Adolescent in Waltham, MA

NPI Status: Active since February 11, 2006

Contact Information

9 HOPE AVE
WALTHAM, MA
ZIP 02453
Phone: (781) 216-2200
Fax: (781) 647-8914

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  • Individual
  • Female
  • Psychologist
  • Clinical Child & Adolescent

About TERRELL CLARK

This page provides the complete NPI Profile along with additional information for Terrell Clark, a provider established in Waltham, Massachusetts with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1043283724 assigned on February 2006. The practitioner's primary taxonomy code is 103TC2200X with license number 2856 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1043283724
Provider Name
TERRELL A CLARK PHD
Gender
Female
Entity Type
Individual
Location Address
9 HOPE AVE WALTHAM, MA 02453
Location Phone
(781) 216-2200
Location Fax
(781) 647-8914
Mailing Address
34 MEADOW RD BOLTON, MA 01740
Mailing Phone
(978) 779-6133
Is Sole Proprietor?
Yes
Enumeration Date
02-11-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
2856
License State
MA
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043283724
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208348674
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 8 + 6 + 7 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1043283724 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174510887DR. SOPHIE M MCINTYRE PHARMD
Individual
Pharmacist9 HOPE AVE EATON APOTHECARY
WALTHAM, MA 02453
(781) 894-5400
1982688719DR. CHRISTINE A. ROBB MD
Individual
Family Medicine9 HOPE AVE WALTHAM URGENT CARE CENTER
WALTHAM, MA 02453
(617) 243-5590
1962472720 JOHN M COSTELLO CCC-SLP
Individual
Speech-Language Pathologist9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2220
1265405732 BETSY L KAMMERER PHD
Individual
Psychologist9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2200
1760455273 JENNIFER JOHNSTON CCC-SLP
Individual
Speech-Language Pathologist9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2212
1437122413DR. JUDITH M CROUCH MD,MPH
Individual
Family Medicine (Geriatric Medicine)9 HOPE AVE
WALTHAM, MA 02453
(617) 243-5990
1053384941 HOPE E DICKINSON CCC-SLP
Individual
Speech-Language Pathologist9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2200
1386617009 JENNIFER M HARRIS CCC-A
Individual
Audiologist9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2100
1417921826 SUSANNE S RUSSELL OT
Individual
Occupational Therapist (Ergonomics)9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2228
1033183389 SHARON SHAHAM MS
Individual
Speech-Language Pathologist9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2200
1073588794 JILL C ECKERLY CCC-A
Individual
Audiologist9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2156
1982679643 RICHARD J FOSTER M.D.
Individual
Emergency Medicine9 HOPE AVE
WALTHAM, MA 02453
(617) 243-5590
1710953534 HOWARD C SHANE PHD
Individual
Speech-Language Pathologist9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2200
1407822893 GERALYN H WOODNORTH CCC-SLP
Individual
Speech-Language Pathologist9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2235
1093771131 CHARLOTTE H MULLEN CCC-A
Individual
Audiologist9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2200
1619925898DR. IRINA A GURYANOVA MD
Individual
Psychiatry & Neurology (Psychiatry)9 HOPE AVE SUITE 500
WALTHAM, MA 02453
(781) 647-6786
1629028709DR. MARK JEFFREY SHANKMAN MD
Individual
Internal Medicine9 HOPE AVE
WALTHAM, MA 02453
(617) 243-5590
1467403931 JESSICA RADIN PETERS MD
Individual
Emergency Medicine9 HOPE AVE WALTHAM URGENT CARE CENTER
WALTHAM, MA 02453
(617) 243-5590
1902857063 DEBRA M FOTI-FLYNN NP
Individual
Internal Medicine (Addiction Medicine)9 HOPE AVE
WALTHAM, MA 02453
(781) 891-8670
1548209661MS. BARBARA DAMON MARINACCIO PNP
Individual
Nurse Practitioner9 HOPE AVE
WALTHAM, MA 02453
(781) 216-2115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043283724, enumerated in the NPI registry as an "individual" on February 11, 2006

The provider is located at 9 Hope Ave Waltham, Ma 02453 and the phone number is (781) 216-2200

The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

This NPI record was last updated on February 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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