AMY R CLARK
NPI 1942942792
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

NPI Status: Active since April 12, 2022

Contact Information

11878 AVENUE OF INDUSTRY
SAN DIEGO, CA
ZIP 92128
Phone: (858) 487-3200

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health

About AMY CLARK

This page provides the complete NPI Profile along with additional information for Amy Clark, a provider established in San Diego, California with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1942942792 assigned on April 2022. The practitioner's primary taxonomy code is 363LP0808X with license number 95020628 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1942942792
Provider Name
AMY R CLARK
Gender
Female
Entity Type
Individual
Location Address
11878 AVENUE OF INDUSTRY SAN DIEGO, CA 92128
Location Phone
(858) 487-3200
Mailing Address
1843 HISTORIC DECATUR RD SAN DIEGO, CA 92106
Mailing Phone
(425) 971-6686
Is Sole Proprietor?
Yes
Enumeration Date
04-12-2022
Last Update Date
04-12-2022
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A nurse practitioner (NP) like Amy Clark is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
95020628
License State
CA

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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.
1942942792
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29821844718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 1 + 8 + 4 + 4 + 7 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1942942792 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
1073511390MR. MICHAEL L. ROSS MBA, R.PH.
Individual
Pharmacist (Psychiatric)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 675-4259
1598722027AURORA SAN DIEGO LLC
Organization
Psychiatric Hospital11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 487-3200
1487835203DR. MICHAEL LEE STANFILL PH.D.
Individual
Psychologist (Clinical)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 675-4200
1427452531MRS. ANN-SOFIE LINNEA EBENFELT RN
Individual
Psychiatric Hospital11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 487-3200
1184081523STEVEN P. JAMES, M.D., INC.
Organization
Psychiatry & Neurology (Psychiatry)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 354-0143
1346610656 ANNA S KIM PHARM.D.
Individual
Pharmacist11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 675-4259
1104186899 RYAN M WILKE D.O.
Individual
Psychiatry & Neurology (Psychiatry)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(760) 317-5797
1386177251RYAN M. WILKE, D.O., A MEDICAL CORPORATION
Organization
Psychiatry & Neurology (Psychiatry)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(760) 317-5797
1528167723DR. MARIA CORAZON BAUTISTA M.D.
Individual
Internal Medicine11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 722-4779
1215036462MARIA C BAUTISTA MD INC
Organization
Internal Medicine11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 722-4779
1154678100 EMMANUEL MARIANO ROBERTS LMFT
Individual
Marriage & Family Therapist11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 675-4230
1164047353ANDREW ALLEN MD CORPORATION
Organization
Psychiatry & Neurology (Psychiatry)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(619) 940-4682
1770930075DR. ROSS PALMER MD
Individual
Psychiatry & Neurology (Psychiatry)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(619) 900-9750
1306457593MR. DANIEL CRAIG CANEZ MFT
Individual
Student in an Organized Health Care Education/Training Program11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 521-3250
1992384036COMPREHENSIVE PSYCHIATRIC SOLUTIONS, P.C.
Organization
Psychiatry & Neurology (Addiction Psychiatry)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 487-3200
1982054888DR. REED ANDREW VIERRA PSY.D.
Individual
Counselor11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(661) 487-3200
1982359485 JAMIE MORALES LCSW
Individual
Social Worker (Clinical)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 529-5475
1013578939RYAN WANG MD A PROFESSIONAL CORPORATION
Organization
Psychiatry & Neurology (Psychiatry)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 925-7346
1770960668 RYAN YINGHAN WANG M.D.
Individual
Psychiatry & Neurology (Psychiatry)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 925-7346
1821708850WASEEM KHADER DO INC
Organization
Preventive Medicine (Addiction Medicine)11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(442) 286-7907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942942792, enumerated in the NPI registry as an "individual" on April 12, 2022

The provider is located at 11878 Avenue Of Industry San Diego, Ca 92128 and the phone number is (858) 487-3200

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on April 12, 2022. 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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