RACHEAL CLARK PH.D., BCBA
NPI 1124685805
Psychologist in Clarksville, MD

Active since May 28, 2019PECOS Enrolled
6100 DAYLONG LN STE 103, CLARKSVILLE, MD 21029(410) 531-8100 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 19, 2021, May 28, 2019 (2 updates tracked since 2019).

  • Individual
  • Female
  • Psychologist
  • PECOS Enrolled

About RACHEAL CLARK

This page provides the complete NPI Profile along with additional information for Racheal Clark, a provider established in Clarksville, Maryland with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1124685805 assigned on May 2019. The practitioner's primary taxonomy code is 103T00000X with license number 06447 (MD). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1124685805 Verify this NPI
Provider Name
RACHEAL CLARK PH.D., BCBA
Gender
Female
Entity Type
Individual
Location Address
6100 DAYLONG LN STE 103 CLARKSVILLE, MD 21029
Location Phone
(410) 531-8100
Mailing Address
6100 DAYLONG LN STE 103 CLARKSVILLE, MD 21029
Mailing Phone
(410) 531-8100
Is Sole Proprietor?
No
Enumeration Date
05-28-2019
Last Update Date
10-19-2021
Code Navigator

A psychologist like Racheal Clark studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
06447
License State
MD
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Racheal Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for RACHEAL CLARK PH.D., BCBA

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Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Psychologist (Clinical Child & Adolescent)
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Social Worker (Clinical)
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Behavior Technician
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Behavior Analyst
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Psychologist (Clinical)
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Psychologist (Clinical)
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Social Worker
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Counselor (Professional)
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Counselor (Mental Health)
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Behavior Technician
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Behavior Technician
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Student in an Organized Health Care Education/Training Program
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Student in an Organized Health Care Education/Training Program
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Psychologist (Clinical)
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Counselor (Mental Health)
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029
Counselor (Professional)
6100 DAYLONG LN STE 103
CLARKSVILLE, MD 21029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124685805, enumerated as an "individual" on May 28, 2019.

The provider is located at 6100 DAYLONG LN STE 103 CLARKSVILLE, MD 21029 and the phone number is (410) 531-8100.

Psychologist with taxonomy code 103T00000X.