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MARIANNE CLARK PSY.D.
NPI 1235109299
Psychologist - Clinical in Mount Laurel, NJ

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
3804 CHURCH RD, MOUNT LAUREL, NJ 08054(862) 219-1125 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marianne Clark Psy.d. NPPES

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

MARIANNE CLARK PSY.D. (NPI 1235109299) is an individual clinical provider in Mount Laurel, New Jersey, licensed in New Jersey (SI00357800) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1235109299
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARIANNE CLARKCredential: PSY.D.
Location Address3804 CHURCH RDMount Laurel, NJ 08054-1106
Mailing Address3804 Church RdMount Laurel, NJ 08054-1106 · (862) 219-1125
Phone(862) 219-1125
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 24, 2006
Last NPPES UpdateOctober 24, 2019
✔ NPI 1235109299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NJ · SI00357800
Definition
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.
3804 CHURCH RD, Mount Laurel, NJ 08054
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Other Identifiers 1

Medicaid7819307NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marianne Clark Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395088744
PECOS Enrollment IDI20190528001781
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Marianne Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marianne Clark Psyd LLC
Same address
Mental Health (Including Community Mental Health Center)
3804 CHURCH RD
Mount Laurel, NJ 08054
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1063057610 (862) 219-1125
Advocare, LLC
4.0 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055
Senior Care Therapy LLC
77 mi
Clinical
85 CRESCENT AVE
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey enrollment
  • 319 clinicians in this Medicare group
NPI 1285898098 (973) 264-0023

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
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 18

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

DR. MORRIS EHRENBERG PH.D.
Psychologist
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-7560
CRAIG W. PEARL, PSY.D., P.C.
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-2100
CRAIG W PEARL PSY D
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-2100
MARIANNE CLARK PSYD LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (862) 219-1125
WILLIAM L. SHINEFIELD
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (609) 744-3393
MR. EDWARD ALBERT STEINMETZ JR. LPC
Counselor (Professional)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (609) 847-2379
MORRIS EHRENBERG, PHD, LLC
Psychologist
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-7560
MARK A. TARANGIOLI, PSY.D. LLC
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 761-4823

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 Marianne Clark's NPI number?

The NPI number for Marianne Clark is 1235109299. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Marianne Clark located?

Marianne Clark practices at 3804 Church Rd, Mount Laurel, NJ 08054. The listed phone number is (862) 219-1125.

What is Marianne Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Marianne Clark enrolled in Medicare?

Yes. Marianne Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marianne Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marianne Clark reassigns Medicare benefits to 3 organizations: Marianne Clark Psyd LLC (Mount Laurel, NJ), Advocare, LLC (Marlton, NJ) and Senior Care Therapy LLC (Passaic, NJ). 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 Marianne 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 Marianne Clark was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.