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JOSHUA WAYNE CLARK
NPI 1053197517
Psychologist - Intellectual and Developmental Disabilities in Phelan, CA

Active since August 31, 2023
4037 STE A 214, PHELAN, CA 92371(760) 964-0153 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joshua Wayne Clark NPPES

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

JOSHUA WAYNE CLARK (NPI 1053197517) is an individual intellectual and developmental disabilities provider in Phelan, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1053197517
Entity TypeIndividualMale
Primary Taxonomy103TM1800X
Provider Legal NameJOSHUA WAYNE CLARK
Location Address4037 STE A 214Phelan, CA 92371
Mailing Address4037 Ste A 214Phelan, CA 92371 · (760) 964-0153
Phone(760) 964-0153
Sole ProprietorYes
Enumeration DateAugust 31, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1053197517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
4037 STE A 214, Phelan, CA 92371
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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 Joshua Clark's NPI number?

The NPI number for Joshua Clark is 1053197517. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Joshua Clark located?

Joshua Clark practices at 4037 Ste A 214, Phelan, CA 92371. The listed phone number is (760) 964-0153.

What is Joshua Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Joshua Clark was last updated on August 31, 2023. 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.