RACHEAL CLARK PH.D., BCBA
NPI 1124685805
Psychologist in Clarksville, MD
About Racheal Clark Ph.d., Bcba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEAL CLARK PH.D., BCBA (NPI 1124685805) is an individual psychologist in Clarksville, Maryland, licensed in Maryland (06447) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Racheal Clark Ph.d., Bcba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Racheal Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clarksville, MD 21029
- Reassigned Medicare billing, Maryland enrollment
- 5 clinicians in this Medicare group
Arnold, MD 21012
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Arundel Mental Health Professionals Lc
- 124 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Racheal Clark's NPI number?
The NPI number for Racheal Clark is 1124685805. It was assigned to this individual provider in the NPPES registry on May 28, 2019.
Where is Racheal Clark located?
Racheal Clark practices at 6100 Daylong Ln Ste 103, Clarksville, MD 21029. The listed phone number is (410) 531-8100.
What is Racheal Clark's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Racheal Clark enrolled in Medicare?
Yes. Racheal Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Racheal Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Racheal Clark reassigns Medicare benefits to 3 organizations: Brighter Hope Wellness Center (Clarksville, MD), Arundel Mental Health Professionals L.C. (Arnold, MD) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Racheal Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Racheal Clark was last updated on October 19, 2021. 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.