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VIDAL CLARK
NPI 1154727048
Counselor in Jamaica Plain, MA

Active since November 05, 2014
555 AMORY ST, SUITE 3, JAMAICA PLAIN, MA 02130(617) 522-0900 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vidal Clark NPPES

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

VIDAL CLARK (NPI 1154727048) is an individual counselor in Jamaica Plain, Massachusetts and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1154727048
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameVIDAL CLARK
Location Address555 AMORY ST, SUITE 3Jamaica Plain, MA 02130-2652
Mailing Address555 Amory St, Suite 3Jamaica Plain, MA 02130-2652
Phone(617) 522-0900
Sole ProprietorYes
Enumeration DateNovember 5, 2014
✔ NPI 1154727048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
555 AMORY ST, Jamaica Plain, MA 02130
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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.

KELLY COTTON
Developmental Therapist
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522
GRACE MARIA TRUDEAU MS, OTR/L
Occupational Therapist
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522
MEGHAN SULLIVAN COLLOPY
Developmental Therapist
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522
REMA TOKATLI
Speech-Language Pathologist
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522
KERRIANN JACKSON
Developmental Therapist
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522
MSWATI HANKS
Counselor (Mental Health)
555 AMORY ST, SUITE 3
BOSTON, MA 02130
Suffolk County (617) 522-0900
MYA EDITH JARA
Social Worker (Clinical)
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (860) 938-3655
KATHLEEN ROSE
Social Worker (Clinical)
555 AMORY ST, SUITE 5
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522

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 Vidal Clark's NPI number?

The NPI number for Vidal Clark is 1154727048. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Where is Vidal Clark located?

Vidal Clark practices at 555 Amory St Suite 3, Jamaica Plain, MA 02130. The listed phone number is (617) 522-0900.

What is Vidal Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Vidal Clark was last updated on November 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.