KAITLYN A CLARK
NPI 1073393625
Student in an Organized Health Care Education/Training Program in San Mateo, CA

Active since October 02, 2023
3701 HACIENDA ST, SAN MATEO, CA 94403(650) 539-0340 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaitlyn A Clark NPPES

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

KAITLYN A CLARK (NPI 1073393625) is an individual student in an organized health care education/training program in San Mateo, California and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1073393625
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLYN A CLARK
Location Address3701 HACIENDA STSan Mateo, CA 94403-4366
Mailing Address3701 Hacienda StSan Mateo, CA 94403-4366
Sole ProprietorYes
Enumeration DateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
NPI 1073393625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3701 HACIENDA ST, San Mateo, CA 94403

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.

Counselor (Mental Health)
3701 HACIENDA ST
SAN MATEO, CA 94403
Marriage & Family Therapist
3701 HACIENDA ST
SAN MATEO, CA 94403
Peer Specialist
3701 HACIENDA ST
SAN MATEO, CA 94403
Counselor (Addiction (Substance Use Disorder))
3701 HACIENDA ST
SAN MATEO, CA 94403
Counselor (Mental Health)
3701 HACIENDA ST
SAN MATEO, CA 94403
Community Based Residential Treatment Facility, Mental Illness
3701 HACIENDA ST
SAN MATEO, CA 94403
Counselor (Mental Health)
3701 HACIENDA ST
SAN MATEO, CA 94403
Community Health Worker
3701 HACIENDA ST
SAN MATEO, CA 94403

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 Kaitlyn Clark's NPI number?

The NPI number for Kaitlyn Clark is 1073393625. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Kaitlyn Clark located?

Kaitlyn Clark practices at 3701 Hacienda St, San Mateo, CA 94403. The listed phone number is (650) 539-0340.

What is Kaitlyn Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kaitlyn Clark was last updated on October 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.