1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Psychologist
  6. NPI Profile

DR. ELISABETH OLIVER CLARK PH.D.
NPI 1043368145
Psychologist - Clinical in Los Angeles, CA

Active since January 08, 2007
544 S SAN VICENTE BLVD, SUITE 203, LOS ANGELES, CA 90048(323) 850-0620 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elisabeth Oliver Clark Ph.d. NPPES

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

DR. ELISABETH OLIVER CLARK PH.D. (NPI 1043368145) is an individual clinical provider in Los Angeles, California, licensed in California (PSY12291) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1043368145
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELISABETH OLIVER CLARKCredential: PH.D.
Location Address544 S SAN VICENTE BLVD, SUITE 203Los Angeles, CA 90048-4622
Mailing Address1558 N Ogden DrLos Angeles, CA 90046-2616 · (323) 850-0620 · Fax (323) 850-0620
Phone(323) 850-0620
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043368145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY12291
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
544 S SAN VICENTE BLVD, Los Angeles, CA 90048
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedCP12291CA · Medicare Provider Number

Other Providers at the Same Location NPPES 3

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

MRS. NEHA SHAH MPT
Physical Therapist (Orthopedic)
544 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 655-8525
DR. LAUREN ALIDA EVANS D.C.
Chiropractor
544 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
Los Angeles County (818) 642-5049
NEHA SHAH PT INC
Physical Therapist
544 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 655-8528

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 Elisabeth Clark's NPI number?

The NPI number for Elisabeth Clark is 1043368145. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Elisabeth Clark located?

Elisabeth Clark practices at 544 S San Vicente Blvd Suite 203, Los Angeles, CA 90048. The listed phone number is (323) 850-0620.

What is Elisabeth Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Elisabeth Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.