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STACY CLARK PH.D.
NPI 1053625764
Psychologist - Clinical in Chicago, IL

Active since August 05, 2010
25 E WASHINGTON ST, 1719, CHICAGO, IL 60602(773) 263-0003 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Clark Ph.d. NPPES

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

STACY CLARK PH.D. (NPI 1053625764) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.007953) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1053625764
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTACY CLARKCredential: PH.D.
Location Address25 E WASHINGTON ST, 1719Chicago, IL 60602-1708
Mailing Address25 E Washington St, 1791Chicago, IL 60602-1708 · (773) 263-0003
Phone(773) 263-0003
Sole ProprietorYes
Enumeration DateAugust 5, 2010
Last NPPES UpdateOctober 28, 2014
✔ NPI 1053625764 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 IL · 071.007953
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.
25 E WASHINGTON ST, Chicago, IL 60602
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Other Providers at the Same Location NPPES 20

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

DR. RAYMOND S BELMONTE M.D.
Anesthesiology
25 E WASHINGTON ST, SUITE 300
CHICAGO, IL 60602
Cook County (312) 726-3329
WATCH HILL THERAPY
Marriage & Family Therapist
25 E WASHINGTON ST, SUITE 1808
CHICAGO, IL 60602
Cook County (312) 725-6136
NYIA HAWKINS
Counselor (Mental Health)
25 E WASHINGTON ST
CHICAGO, IL 60602
Cook County (312) 690-7293
RHELLA DOLETINA PT
Physical Therapist (Orthopedic)
25 E WASHINGTON ST, SUITE 1310
CHICAGO, IL 60602
Cook County (312) 855-1711
PATRICIA GILLERAN DDS PC
Dentist (General Practice)
25 E WASHINGTON ST, SUITE 1101
CHICAGO, IL 60602
Cook County (312) 368-8771
SEAN COMERFORD DC
Chiropractor
25 E WASHINGTON ST, SUITE #1727
CHICAGO, IL 60602
Cook County (312) 795-1525
SARA G DESAI LCSW
Social Worker (Clinical)
25 E WASHINGTON ST, SUITE 826
CHICAGO, IL 60602
Cook County (773) 834-9180
DERMATOLOGY-CHICAGO S C
Dermatology
25 E WASHINGTON ST, SUITE 1131
CHICAGO, IL 60602
Cook County (312) 372-0150

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 Stacy Clark's NPI number?

The NPI number for Stacy Clark is 1053625764. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Where is Stacy Clark located?

Stacy Clark practices at 25 E Washington St 1719, Chicago, IL 60602. The listed phone number is (773) 263-0003.

What is Stacy 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 Stacy Clark was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.