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MR. CLARK ROBERT THOMPSON MA
NPI 1003284274
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since September 04, 2015PECOS Enrolled
86 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 435-6360 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Clark Robert Thompson Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLARK ROBERT THOMPSON MA (NPI 1003284274) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Northfield.

NPPES Registry Identity

NPI1003284274
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. CLARK ROBERT THOMPSONCredential: MA
Location Address86 W SUNBRIDGE DRFayetteville, AR 72703-1822
Mailing Address405 Central AveNorthfield, IL 60093-3006 · (847) 441-5600
Phone(479) 435-6360
Sole ProprietorNo
Enumeration DateSeptember 4, 2015
Last NPPES UpdateOctober 31, 2018
✔ NPI 1003284274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychologistTaxonomy 103T00000X · License 1810AP-PL (AR)
86 W SUNBRIDGE DR, Fayetteville, AR 72703
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Secondary Practice Location 1

Location 1405 Central AveNorthfield, IL 60093-3006 · Phone (847) 441-5600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Clark Robert Thompson Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEUROPSYCHOLOGY CONSULTANTS
Clinical Neuropsychologist
86 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 587-8921
DR. SCOTT MCCARTY PH.D.
Psychologist (Clinical)
86 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 587-8921
DR. ANNE WARD STEVENS PH.D.
Clinical Neuropsychologist
86 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 435-6360
MALI SIRISENA
Nurse Practitioner (Psychiatric/Mental Health)
86 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 443-5575
CARLEY J KNIGHT LCSW
Social Worker (Clinical)
86 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 443-5575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Thompson's NPI number?

The NPI number for Clark Thompson is 1003284274. It was assigned to this individual provider in the NPPES registry on September 4, 2015.

Where is Clark Thompson located?

Clark Thompson practices at 86 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 435-6360.

What is Clark Thompson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Clark Thompson enrolled in Medicare?

Yes. Clark Thompson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clark Thompson was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.