Thomas R. Clark, PH.D.
NPI 1407866981ActiveIndividual· Psychologist, Clinical· Northville, MI
Psychologist, Clinical (PH.D.) with Alpha Psychological Services PC, practicing in Northville, Michigan. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1407866981 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301001244 | MI |
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 (MI) |
|---|
Education and affiliations
| Graduation year | 1972 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Alpha Psychological Services PCNorthville, MI · 3 clinicians
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