DR. CHRISTY A CLARK PH.D.
NPI 1760411102
Psychologist - Clinical in Northborough, MA
NPI Status: Active since June 30, 2006
Contact Information
300 W MAIN ST
BLDG A
NORTHBOROUGH, MA
ZIP 01532
Phone: (508) 856-2551
Fax: (508) 856-5320
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About CHRISTY CLARK
This page provides the complete NPI Profile along with additional information for Christy Clark, a provider established in Northborough, Massachusetts with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1760411102 assigned on June 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 7966 (MA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1760411102
- Provider Name
- DR. CHRISTY A CLARK PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 W MAIN ST BLDG A NORTHBOROUGH, MA 01532
- Location Phone
- (508) 856-2551
- Location Fax
- (508) 856-5320
- Mailing Address
- 300 W MAIN ST BLDG A NORTHBOROUGH, MA 01532
- Mailing Phone
- (508) 334-8815
- Mailing Fax
- (508) 856-5320
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-30-2006
- Last Update Date
- 06-20-2016
- Code Navigator
A clinical psychologist like Christy Clark assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Christy Clark opted out of Medicare effective on 01-04-2022 until 01-04-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
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
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 7966
- License State
- MA
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-04-2022
Opt-Out End Date: 01-04-2026
Eligible to Order and Refer? No
Reviews for DR. CHRISTY A CLARK PH.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 7 | 6 | 0 | 4 | 1 | 1 | 1 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 1 | 2 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 1 + 2 + 1 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1760411102 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1700994605 | DR. LISA ANN KAMEAN-SILVA Individual | Psychologist (Cognitive & Behavioral) | 300 W MAIN ST NORTHBOROUGH, MA 01532 (508) 393-4270 |
| 1003996505 | KATHLEEN T RANDALL LMHC, EMDR Individual | Counselor (Professional) | 300 W MAIN ST NORTHBOROUGH, MA 01532 (508) 351-6511 |
| 1245390418 | DR. PAULA-ANN MARIE PRICKEN PH.D. Individual | Psychologist | 300 W MAIN ST BUILDING B NORTHBOROUGH, MA 01532 (508) 797-5956 |
| 1528128196 | MS. LIZBETH ANN GUSTAVSON LMHC, CADAC-II Individual | Counselor (Mental Health) | 300 W MAIN ST SUITE 202 NORTHBOROUGH, MA 01532 (508) 393-7662 |
| 1255480562 | LINDA D MILLER LICSW Individual | Social Worker (Clinical) | 300 W MAIN ST BUILDING B NORTHBOROUGH, MA 01532 (508) 393-1250 |
| 1548396401 | ELIZABETH M NIXON LICSW Individual | Social Worker (Clinical) | 300 W MAIN ST NORTHBOROUGH, MA 01532 (508) 330-4737 |
| 1932354545 | DR. RACHEL GAILLARD SMOOK PSY.D. Individual | Psychologist (Clinical) | 300 W MAIN ST BUILDING B NORTHBOROUGH, MA 01532 (508) 393-0370 |
| 1497071831 | JENNIFER FRANCIS SPIRITO LICSW Individual | Social Worker (Clinical) | 300 W MAIN ST NORTHBOROUGH, MA 01532 (508) 341-5811 |
| 1316254543 | PREMIER LIVE-INS, INC. Organization | Registered Nurse (Home Health) | 300 W MAIN ST BLDG. A, SUITE 5 NORTHBOROUGH, MA 01532 (508) 393-8570 |
| 1639475155 | EN PSYCHOTHERAPY, LLC Organization | Social Worker (Clinical) | 300 W MAIN ST NORTHBOROUGH, MA 01532 (508) 330-4737 |
| 1194018036 | COLE PSYCHOLOGICAL AND ASSESSMENT SERVICES LLC Organization | Psychologist (Clinical) | 300 W MAIN ST BLDG. B SUITE 211 NORTHBOROUGH, MA 01532 (508) 393-4700 |
| 1891054847 | MS. ELIZABETH NIEDBALA MSW, LICSW Individual | Social Worker (Clinical) | 300 W MAIN ST BUILDING B, SUITE 113 NORTHBOROUGH, MA 01532 (508) 523-6177 |
| 1285831362 | CLARA KIM M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 300 W MAIN ST BLDG B NORTHBOROUGH, MA 01532 (508) 723-6141 |
| 1023496577 | ROBERT COOKE PC Organization | Social Worker (Clinical) | 300 W MAIN ST NORTHBOROUGH, MA 01532 (508) 393-0316 |
| 1548543978 | BENJAMIN BAKER STAINES LICSW Individual | Social Worker (Clinical) | 300 W MAIN ST BUILDING B NORTHBOROUGH, MA 01532 (978) 310-1041 |
| 1386869568 | DR. JERI D BABINSKY D.MIN Individual | Psychologist | 300 W MAIN ST BLDG A NORTHBOROUGH, MA 01532 (508) 366-7707 |
| 1720511488 | MICHELLE MERCHANT LMHC Individual | Counselor (Mental Health) | 300 W MAIN ST NORTHBOROUGH, MA 01532 (508) 688-4822 |
| 1518479039 | RIGHT ROAD RECOVERY, LLC Organization | Clinic/Center (Multi-Specialty) | 300 W MAIN ST NORTHBOROUGH, MA 01532 (508) 579-0000 |
| 1063852424 | ELIZABETH VADNAIS LMHC Individual | Counselor (Mental Health) | 300 W MAIN ST NORTHBOROUGH, MA 01532 (413) 535-6877 |
| 1114382892 | JILLIAN MAE GAROFANO-STAINES M.S. Individual | Counselor (Mental Health) | 300 W MAIN ST NORTHBOROUGH, MA 01532 (978) 286-8987 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760411102, enumerated in the NPI registry as an "individual" on June 30, 2006
The provider is located at 300 W Main St Bldg A Northborough, Ma 01532 and the phone number is (508) 856-2551
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
No, the provider signed an affidavit on January 04, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 04, 2026.
This NPI record was last updated on June 30, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.