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ABIGAIL CLARK
NPI 1033616032
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since April 07, 2018Opted out of Medicare · through Mar 5, 2028
1880 CAMINO DE LA REINA # 1147, SAN DIEGO, CA 92108(619) 688-8111 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2026, May 15, 2020 (2 updates tracked since 2020).

About Abigail Clark NPPES

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

ABIGAIL CLARK (NPI 1033616032) is an individual psychiatry provider in San Diego, California, licensed in California (A165554) and active in the NPI registry since April 2018. She has opted out of Medicare through March 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033616032
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameABIGAIL CLARK
Location Address1880 CAMINO DE LA REINA # 1147San Diego, CA 92108-1539
Mailing Address1880 Camino De La Reina # 1147San Diego, CA 92108-1539 · (619) 688-8111
Phone(619) 688-8111
Sole ProprietorYes
Enumeration DateApril 7, 2018
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1033616032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A165554
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1880 CAMINO DE LA REINA # 1147, San Diego, CA 92108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Abigail Clark has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 5, 2024 through March 5, 2028.

Opt-Out Effective DateMarch 5, 2024
Opt-Out In Effect ThroughMarch 5, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Abigail Clark's NPI number?

The NPI number for Abigail Clark is 1033616032. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Where is Abigail Clark located?

Abigail Clark practices at 1880 Camino De La Reina # 1147, San Diego, CA 92108. The listed phone number is (619) 688-8111.

What is Abigail Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Abigail Clark enrolled in Medicare?

No. Abigail Clark has opted out of Medicare through March 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Abigail Clark was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.