Matthew David Ayers Clark, PSY.D., FLP
NPI 1811001126ActiveIndividual· Psychologist· Caledonia, MI
Psychologist (PSY.D., FLP) in Caledonia, Michigan, licensed in MI, with an NPI issued in August 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1811001126 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D., FLP |
| Sole proprietor | Yes |
| NPI issued | Aug 17, 2006 |
| Last updated in NPPES | Jan 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6301013305 | MI |
| Psychologist, Clinical | 103TC0700X | 6301013305 | MI |
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 (MI) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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