Virginia Fowkes Clark, PHD
NPI 1477511038ActiveIndividual· Psychologist· Stow, OH
Psychologist (PHD) with Western Reserve Psychological Assoc Inc, practicing in Stow, Ohio. Medicare paid $10,036 for services to 11 patients in 2024.
Overview
| NPI | 1477511038 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | May 3, 2006 |
| Last updated in NPPES | Dec 8, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 5928 | OH |
| Psychologist | 103T00000X | PS008980L | PA |
| Psychologist, Clinical | 103TC0700X | 5928 | OH |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 5928 | OH |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 5928 | OH |
| Psychologist, Family | 103TF0000X | 5928 | OH |
| Psychologist, Health Service | 103TH0100X | 5928 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 106 across 4 procedure codes |
| Paid by Medicare | $10,036 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Western Reserve Psychological Assoc IncStow, OH · 7 clinicians
Other Psychologist providers in Stow
- 1750548053
- 1063479590
- 1366497083
- 1790867513
- 1871550459
- 1912951708
- 1487216776
- 1952360828
- 1225095805
- 1043621386
- 1760519136
- 1225265838