MARK W CLARK PSY.D.
NPI 1114081577
Psychologist in Vancouver, WA

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
7507 NE 51ST ST, VANCOUVER, WA 98662(360) 906-1190(360) 906-1193 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Mark W Clark Psy.d. NPPES

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

MARK W CLARK PSY.D. (NPI 1114081577) is an individual psychologist in Vancouver, Washington, licensed in Washington (PY2226) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114081577
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMARK W CLARKCredential: PSY.D.
Location Address7507 NE 51ST STVancouver, WA 98662-6007
Mailing AddressPo Box 82819Portland, OR 97282-0819 · (503) 233-5405 · Fax (503) 233-2696
Fax(360) 906-1193
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 20, 2006
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1114081577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY2226
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY2226 (WA)
7507 NE 51ST ST, Vancouver, WA 98662

Other Identifiers 1

Medicaid164936OR

Accepted 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

Mark W 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 ID143405829
PECOS Enrollment IDI20110421000841
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.

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.

Social Worker (Clinical)
7507 NE 51ST ST
VANCOUVER, WA 98662
Psychologist (Clinical)
7507 NE 51ST ST
VANCOUVER, WA 98662
Counselor (Mental Health)
7507 NE 51ST ST
VANCOUVER, WA 98662
Psychologist
7507 NE 51ST ST
VANCOUVER, WA 98662
Counselor (Mental Health)
7507 NE 51ST ST
VANCOUVER, WA 98662
Counselor (Mental Health)
7507 NE 51ST ST
VANCOUVER, WA 98662
Social Worker (Clinical)
7507 NE 51ST ST
VANCOUVER, WA 98662
Psychologist (Clinical)
7507 NE 51ST ST
VANCOUVER, WA 98662

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 Mark Clark's NPI number?

The NPI number for Mark Clark is 1114081577. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Mark Clark located?

Mark Clark practices at 7507 NE 51st St, Vancouver, WA 98662. The listed phone number is (360) 906-1190.

What is Mark Clark's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mark Clark enrolled in Medicare?

Yes. Mark 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 Mark Clark accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Mark 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 Mark Clark was last updated on March 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.