Carly Clark, PSYD
NPI 1972321214ActiveIndividual· Psychologist· Portland, ME
Psychologist (PSYD) in Portland, Maine, licensed in ME, with an NPI issued in September 2024. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1972321214 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Sep 26, 2024 |
| Last updated in NPPES | Nov 13, 2025 |
| Certified by provider | Nov 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PS2605 | ME |
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 (ME) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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