Clark Institute Psychology PLLC
NPI 1508339524ActiveOrganization· Psychologist· Caledonia, MI
Psychologist in Caledonia, Michigan, registered in NPPES in January 2019. The authorized official on file is Matthew Clark, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508339524 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2019 |
| Last updated in NPPES | Jan 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (MI) |
|---|
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