TANA L CLARKE PHD
NPI 1053611749
Psychologist - Clinical in Severna Park, MD

Active since October 27, 2010Opted out of Medicare · through Oct 1, 2027
877 BALTIMORE ANNAPOLIS BLVD STE 202, SEVERNA PARK, MD 21146(410) 684-3806(410) 821-8042 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tana L Clarke Phd NPPES

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

TANA L CLARKE PHD (NPI 1053611749) is an individual clinical provider in Severna Park, Maryland, licensed in Maryland (04890) and active in the NPI registry since October 2010. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053611749
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTANA L CLARKECredential: PHD
Location Address877 BALTIMORE ANNAPOLIS BLVD STE 202Severna Park, MD 21146-4716
Mailing Address877 Baltimore Annapolis Blvd Ste 202Severna Park, MD 21146-4716 · (410) 684-3806 · Fax (410) 421-8042
Fax(410) 821-8042
Sole ProprietorNo
Enumeration DateOctober 27, 2010
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
NPI 1053611749 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 MD · 04890
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.
877 BALTIMORE ANNAPOLIS BLVD STE 202, Severna Park, MD 21146

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Tana L Clarke Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21146 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Other Providers at the Same Location NPPES 14

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

Counselor (Mental Health)
877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD 21146
Clinic/Center (Mental Health (Including Community Mental Health Center))
877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD 21146
Nurse Practitioner (Psychiatric/Mental Health)
877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD 21146
Psychologist
877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD 21146
Social Worker (Clinical)
877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD 21146
Social Worker (Clinical)
877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD 21146
Social Worker
877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD 21146
Social Worker (Clinical)
877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD 21146

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 Tana Clarke's NPI number?

The NPI number for Tana Clarke is 1053611749. It was assigned to this individual provider in the NPPES registry on October 27, 2010.

Where is Tana Clarke located?

Tana Clarke practices at 877 Baltimore Annapolis Blvd Ste 202, Severna Park, MD 21146. The listed phone number is (410) 684-3806.

What is Tana Clarke's specialty?

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

Is Tana Clarke enrolled in Medicare?

No. Tana Clarke has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tana Clarke was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.