MS. KAREN NOELLE CLARK PHD
NPI 1023057924
Psychologist in Southfield, MI
About Ms. Karen Noelle Clark Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KAREN NOELLE CLARK PHD (NPI 1023057924) is an individual psychologist in Southfield, Michigan, licensed in Michigan (6301001882) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Karen Noelle Clark Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Karen Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Karen Clark's NPI number?
The NPI number for Karen Clark is 1023057924. It was assigned to this individual provider in the NPPES registry on June 6, 2006.
Where is Karen Clark located?
Karen Clark practices at 16250 Northland Drive ,ste 245, Southfield, MI 48075. The listed phone number is (248) 559-2673.
What is Karen Clark's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Karen Clark enrolled in Medicare?
Yes. Karen Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Karen Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Clark reassigns Medicare benefits to Evans & Associates Psychological And Counseling Services (Southfield, MI). 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 Karen 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 Karen Clark was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.