DR. MARY ANN CLARK PH.D.
NPI 1174526578
Psychologist - Clinical in Bradenton, FL

NPI Status: Active since May 31, 2005

Contact Information

300 RIVERSIDE DR E
STE 2000
BRADENTON, FL
ZIP 34208
Phone: (941) 746-8822
Fax: (941) 746-8844

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  • Individual
  • Female
  • Psychologist
  • Clinical

About MARY ANN CLARK

This page provides the complete NPI Profile along with additional information for Mary Ann Clark, a provider established in Bradenton, Florida with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1174526578 assigned on May 2005. The practitioner's primary taxonomy code is 103TC0700X with license number PY0004772 (FL). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1174526578
Provider Name
DR. MARY ANN CLARK PH.D.
Gender
Female
Entity Type
Individual
Location Address
300 RIVERSIDE DR E STE 2000 BRADENTON, FL 34208
Location Phone
(941) 746-8822
Location Fax
(941) 746-8844
Mailing Address
300 RIVERSIDE DR E STE 2000 BRADENTON, FL 34208
Mailing Phone
(941) 746-8822
Mailing Fax
(941) 746-8844
Is Sole Proprietor?
No
Enumeration Date
05-31-2005
Last Update Date
10-18-2007
Code Navigator

A clinical psychologist like Mary Ann Clark assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help 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 Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PY0004772
License State
FL
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
59504MEDICARE ID-TYPE UNSPECIFIED (04)FLPROVIDER NUMBER
59504OTHER (01)FLBCBS PROVIDER NUMBER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174526578, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 0 + 2 + 1 + 2 + 5 + 1 + 4 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1174526578.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Audiologist
300 RIVERSIDE DR E, STE 1600
BRADENTON, FL 34208
Physician Assistant
300 RIVERSIDE DR E, SUITE 2200
BRADENTON, FL 34208
Dermatology
300 RIVERSIDE DR E, #2200
BRADENTON, FL 34208
Radiology (Diagnostic Radiology)
300 RIVERSIDE DR E, STE 4300
BRADENTON, FL 34208
Psychologist (Clinical)
300 RIVERSIDE DR E, SUITE 2000
BRADENTON, FL 34208
Internal Medicine
300 RIVERSIDE DR E, STE 2600
BRADENTON, FL 34208
Chiropractor
300 RIVERSIDE DR E, SUITE 1500
BRADENTON, FL 34208
Nurse Practitioner (Family)
300 RIVERSIDE DR E
BRADENTON, FL 34208
Clinic/Center (Radiology)
300 RIVERSIDE DR E, SUITE 4300
BRODENTON, FL 34208
Nurse Practitioner (Family)
300 RIVERSIDE DR E, SUITE 2010
BRADENTON, FL 34208
Internal Medicine (Cardiovascular Disease)
300 RIVERSIDE DR E, STE 2010
BRADENTON, FL 34208
Podiatrist (Foot & Ankle Surgery)
300 RIVERSIDE DR E, STE 1500
BRADENTON, FL 34208
Internal Medicine
300 RIVERSIDE DR E, SUITE 3900
BRADENTON, FL 34208
Thoracic Surgery (Cardiothoracic Vascular Surgery)
300 RIVERSIDE DR E, SUITE# 2600
BRADENTON, FL 34208
Dermatology
300 RIVERSIDE DR E, SUITE #2200
BRADENTON, FL 34208
Clinic/Center (Primary Care)
300 RIVERSIDE DR E, SUITE 3900
BRADENTON, FL 34208
Family Medicine
300 RIVERSIDE DR E, SUITE 1400
BRADENTON, FL 34208
Specialist
300 RIVERSIDE DR E, SUITE 2010
BRADENTON, FL 34208
Dermatology
300 RIVERSIDE DR E, SUITE 1500
BRADENTON, FL 34208
Clinic/Center (Federally Qualified Health Center (FQHC))
300 RIVERSIDE DR E, SUITE 1500
BRADENTON, FL 34208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174526578, enumerated as an "individual" on May 31, 2005.

The provider is located at 300 RIVERSIDE DR E STE 2000 BRADENTON, FL 34208 and the phone number is (941) 746-8822.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.