MICHAEL ROBERT CLARK M.D.
NPI 1124070024
Psychiatry & Neurology - Psychiatry in Falls Church, VA

Q: What is Michael Clark's NPI number?

The NPI number for Michael Clark is 1124070024. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Michael Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 17, 2006PECOS Enrolled

3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001(703) 776-7113 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Michael Robert Clark M.d. NPPES

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

MICHAEL ROBERT CLARK M.D. (NPI 1124070024) is an individual psychiatry provider in Falls Church, Virginia, licensed in Virginia (0101263339) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124070024

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMICHAEL ROBERT CLARKCredential: M.D.

Location Address3300 GALLOWS RDFalls Church, VA 22042-3300

Mailing Address3300 Gallows RdFalls Church, VA 22042-3300 · (703) 776-4001 · Fax (703) 776-7113

Phone(703) 776-4001

Fax(703) 776-7113

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateOctober 12, 2020

NPPES CertifiedOctober 12, 2020

✔ NPI 1124070024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in VA · 0101263339✔ Licensed in MD · D35708

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3300 GALLOWS RD, Falls Church, VA 22042

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Other Identifiers 1

Medicaid417331700MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Robert Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 22042 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

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

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 20

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

ALLISON ELIZABETH TWEEDIE MD

Psychiatry & Neurology (Psychiatry)