Mark W. Clark, PSY.D.
NPI 1114081577ActiveIndividual· Psychologist· Vancouver, WA
Psychologist (PSY.D.) with Western Psychological and Counseling Services LLC, practicing in Vancouver, Washington. Medicare paid $17,350 for services to 14 patients in 2024.
Overview
| NPI | 1114081577 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Dec 20, 2006 |
| Last updated in NPPES | Mar 13, 2026 |
| Certified by provider | Mar 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY2226 | WA |
| Psychologist, Clinical | 103TC0700X | PY2226 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 171 across 4 procedure codes |
| Paid by Medicare | $17,350 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Western Psychological and Counseling Services LLCEugene, OR · 348 clinicians
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