DR. CHRISTINE CLARK PSY.D., L.P.
NPI 1033666417
Psychologist in Saint Louis Park, MN

Active since September 02, 2016PECOS EnrolledAccepts Medicare Assignment
7601 WAYZATA BLVD, SAINT LOUIS PARK, MN 55426(612) 223-8899 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2023, Sep 2, 2016 (2 updates tracked since 2016).

About Dr. Christine Clark Psy.d., L.p. NPPES

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

DR. CHRISTINE CLARK PSY.D., L.P. (NPI 1033666417) is an individual psychologist in Saint Louis Park, Minnesota, licensed in Minnesota (LP6417) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1033666417
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHRISTINE CLARKCredential: PSY.D., L.P.
Location Address7601 WAYZATA BLVDSaint Louis Park, MN 55426-1623
Mailing Address7601 Wayzata BlvdSaint Louis Park, MN 55426-1623 · (612) 223-8899
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 2, 2016
Last NPPES UpdateApril 20, 20232 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
NPI 1033666417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP6417
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.
7601 WAYZATA BLVD, Saint Louis Park, MN 55426

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

Dr. Christine Clark Psy.d., L.p. 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 ID2567794035
PECOS Enrollment IDI20191101002103
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 20

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

Psychologist (Clinical)
7601 WAYZATA BLVD
MINNEAPOLIS, MN 55426
Counselor (Professional)
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Counselor
7601 WAYZATA BLVD
MINNEAPOLIS, MN 55426
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Marriage & Family Therapist
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426

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 Christine Clark's NPI number?

The NPI number for Christine Clark is 1033666417. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Christine Clark located?

Christine Clark practices at 7601 Wayzata Blvd, Saint Louis Park, MN 55426. The listed phone number is (612) 223-8899.

What is Christine Clark's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Christine Clark enrolled in Medicare?

Yes. Christine 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 Christine Clark accept?

Health plans from HealthPartners list Christine 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 Christine Clark was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.