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: July 19, 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
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

Other Identifiers 1

Medicaid7819307NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 16

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

Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Psychologist
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Social Worker (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Psychologist
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054

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.

What insurance does Marianne Clark accept?

Health plans from Providence Health Plan list Marianne Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marianne Clark was last updated on October 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.