CARA A CLARK
NPI 1043983869
Nurse Practitioner - Psychiatric/Mental Health in Upper Nyack, NY

Active since July 28, 2021PECOS Enrolled
SUMMIT SCHOOL NYACK, 339 NORTH BROADWAY, UPPER NYACK, NY 10960(845) 358-7772(845) 358-0561 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, Oct 17, 2022, Jul 28, 2021 (3 updates tracked since 2021).

About Cara A Clark NPPES

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

CARA A CLARK (NPI 1043983869) is an individual psychiatric/mental health provider in Upper Nyack, New York, licensed in New York (F406155-01) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043983869
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARA A CLARK
Location AddressSUMMIT SCHOOL NYACK, 339 NORTH BROADWAYUpper Nyack, NY 10960
Mailing Address26 Salmar AvePearl River, NY 10965-1322 · (914) 261-3180
Fax(845) 358-0561
Sole ProprietorNo
Enumeration DateJuly 28, 2021
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
NPI 1043983869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F406155-01
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 473158-1 (NY)
Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License 473158-1 (NY)
SUMMIT SCHOOL NYACK, Upper Nyack, NY 10960

Secondary Practice Locations 2

Location 1706 Executive BlvdValley Cottage, NY 10989-2038 · Phone (845) 362-3904
Location 2Rockland BOCES, 65 Parrott RdWest Nyack, NY 10994 · Phone (845) 627-4700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cara A Clark 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10960 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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 Cara Clark's NPI number?

The NPI number for Cara Clark is 1043983869. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Cara Clark located?

Cara Clark practices at Summit School Nyack 339 North Broadway, Upper Nyack, NY 10960. The listed phone number is (845) 358-7772.

What is Cara Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Cara Clark enrolled in Medicare?

Yes. Cara Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cara Clark was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.