MARY ANNE CLARK PSY.D
NPI 1013077361
Psychologist in Lincolnwood, IL

Active since December 09, 2006PECOS EnrolledAccepts Medicare Assignment
7358 N LINCOLN AVE STE 170, LINCOLNWOOD, IL 60712(773) 430-4601 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2024, Dec 7, 2021, Feb 13, 2017 (3 updates tracked since 2017).

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

NPI1013077361
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY ANNE CLARKCredential: PSY.D
Location Address7358 N LINCOLN AVE STE 170Lincolnwood, IL 60712-1710
Mailing Address7358 N Lincoln Ave Ste 170Lincolnwood, IL 60712-1710 · (773) 430-4601
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 9, 2006
Last NPPES UpdateMay 3, 20243 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
NPI 1013077361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

7358 N LINCOLN AVE STE 170, Lincolnwood, IL 60712

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7719912070
PECOS Enrollment IDI20051006000121
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 4

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

Speech-Language Pathologist
7358 N LINCOLN AVE STE 170
LINCOLNWOOD, IL 60712
Psychologist (Clinical)
7358 N LINCOLN AVE STE 170
LINCOLNWOOD, IL 60712
Speech-Language Pathologist
7358 N LINCOLN AVE STE 170
LINCOLNWOOD, IL 60712
Occupational Therapist
7358 N LINCOLN AVE STE 170
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.

What insurance does Mary Clark accept?

Health plans from Providence Health Plan list Mary Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Clark was last updated on May 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.