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DR. JEFFREY P. CLARK PSY.D.
NPI 1063403822
Psychologist - Clinical in Sheridan, WY

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
339 W LOUCKS ST, SHERIDAN, WY 82801(307) 674-4462(307) 674-4552 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffrey P. Clark Psy.d. NPPES

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

DR. JEFFREY P. CLARK PSY.D. (NPI 1063403822) is an individual clinical provider in Sheridan, Wyoming, licensed in Wyoming (409) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063403822
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEFFREY P. CLARKCredential: PSY.D.
Location Address339 W LOUCKS STSheridan, WY 82801-4121
Mailing Address1969 S Sheridan AveSheridan, WY 82801-6108 · (307) 672-7481 · Fax (307) 674-5117
Phone(307) 674-4462
Fax(307) 674-4552
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063403822 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 WY · 409
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.
339 W LOUCKS ST, Sheridan, WY 82801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey P. Clark Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941303499
PECOS Enrollment IDI20070321000393
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 82801 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
$170.72 typical visit price
range $56.42 – $170.72
Typical copayment $42.68 (range $14.10 – $42.68)
Most-billed visit code 99205
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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 2

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

DR. ALICIA CLARK
Psychologist (Clinical)
339 W LOUCKS ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4462
BIG HORN PSYCHOLOGICAL SERVICES LC
Psychologist (Clinical)
339 W LOUCKS ST
SHERIDAN, WY 82801
Sheridan County (307) 675-1805

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 Jeffrey Clark's NPI number?

The NPI number for Jeffrey Clark is 1063403822. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Jeffrey Clark located?

Jeffrey Clark practices at 339 W Loucks St, Sheridan, WY 82801. The listed phone number is (307) 674-4462.

What is Jeffrey Clark's specialty?

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

Is Jeffrey Clark enrolled in Medicare?

Yes. Jeffrey Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Clark accept?

Health plans from Blue Cross Blue Shield of Wyoming list Jeffrey Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

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