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G RENEE THOMAS-CLARK DO
NPI 1043362320
Psychiatry & Neurology - Child & Adolescent Psychiatry in Erie, PA

Active since January 17, 2007PECOS Enrolled
4740 PEACH ST, ERIE, PA 16509(814) 454-3174(814) 616-8002 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2023, Apr 9, 2019 (2 updates tracked since 2019).

About G Renee Thomas-clark Do NPPES

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

G RENEE THOMAS-CLARK DO (NPI 1043362320) is an individual child & adolescent psychiatry provider in Erie, Pennsylvania, licensed in Pennsylvania (OS015338) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1043362320
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameG RENEE THOMAS-CLARKCredential: DO
Location Address4740 PEACH STErie, PA 16509-2008
Mailing Address1 Lecom PlErie, PA 16505-2571 · (814) 868-2529 · Fax (814) 868-2522
Phone(814) 454-3174
Fax(814) 616-8002
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateMay 23, 20232 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1043362320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in PA · OS015338
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
4740 PEACH ST, Erie, PA 16509
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Secondary Practice Location 1

Location 1537 W 18th StErie, PA 16502-1722 · Phone (814) 454-3174 · Fax (814) 616-8002

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

G Renee Thomas-clark Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11

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

MATTHEW L BEHAN
Psychiatry & Neurology (Psychiatry)
4740 PEACH ST
ERIE, PA 16509
Erie County (814) 454-3174
BRENTON JAY SEUNG HOON SONG DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4740 PEACH ST
ERIE, PA 16509
Erie County (814) 454-3174
MILLCREEK COMMUNITY HOSPITAL
Psychiatry & Neurology (Psychiatry)
4740 PEACH ST
ERIE, PA 16509
Erie County (814) 454-3174
HOPE BLACKFORD
Social Worker
4740 PEACH ST
ERIE, PA 16509
Erie County (814) 454-3174
IVY ELIZABETH DEEGAN CRNP
Nurse Practitioner (Psychiatric/Mental Health)
4740 PEACH ST
ERIE, PA 16509
Erie County (814) 454-3174
ROBERT J BEARFIELD
Counselor (Mental Health)
4740 PEACH ST
ERIE, PA 16509
Erie County (814) 454-3174
DAVID E FIGUEROA DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4740 PEACH ST
ERIE, PA 16509
Erie County (814) 454-3174
BELINDA ANN STILLMAN DO
Psychiatry & Neurology (Psychiatry)
4740 PEACH ST
ERIE, PA 16509
Erie County (814) 454-3174

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 G Thomas-clark's NPI number?

The NPI number for G Thomas-clark is 1043362320. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is G Thomas-clark located?

G Thomas-clark practices at 4740 Peach St, Erie, PA 16509. The listed phone number is (814) 454-3174.

What is G Thomas-clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is G Thomas-clark enrolled in Medicare?

Yes. G Thomas-clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for G Thomas-clark was last updated on May 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.