MARY ANNE CLARK PSY.D
NPI 1013077361
Psychologist in Lincolnwood, IL
About Mary Anne Clark Psy.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ANNE CLARK PSY.D (NPI 1013077361) is an individual psychologist in Lincolnwood, Illinois and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Anne Clark Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mary Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lincolnwood, IL 60712
- Reassigned Medicare billing, Illinois enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LINCOLNWOOD, IL 60712
LINCOLNWOOD, IL 60712
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 Mary Clark's NPI number?
The NPI number for Mary Clark is 1013077361. It was assigned to this individual provider in the NPPES registry on December 9, 2006.
Where is Mary Clark located?
Mary Clark practices at 7358 N Lincoln Ave Ste 170, Lincolnwood, IL 60712. The listed phone number is (773) 430-4601.
What is Mary Clark's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mary Clark enrolled in Medicare?
Yes. Mary Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mary Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Clark reassigns Medicare benefits to M. A. Clark, Inc (Lincolnwood, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Clark was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.