SANDRA CLARK PHD
NPI 1235602293
Psychologist - Clinical in Quincy, IL

Q: What is Sandra Clark's NPI number?

The NPI number for Sandra Clark is 1235602293. It was assigned to this individual provider in the NPPES registry on January 2, 2019.

Q: What is Sandra Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Clark was last updated on September 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 02, 2019PECOS Enrolled

1025 MAINE ST, QUINCY, IL 62301(217) 222-6550(217) 277-2253 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2019, Aug 8, 2019, Jan 2, 2019 (3 updates tracked since 2019).

On this page

About Sandra Clark Phd NPPES

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

SANDRA CLARK PHD (NPI 1235602293) is an individual clinical provider in Quincy, Illinois, licensed in Illinois (071-009935) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235602293

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSANDRA CLARKCredential: PHD

Location Address1025 MAINE STQuincy, IL 62301-4096

Mailing Address1025 Maine StQuincy, IL 62301-4096 · (217) 222-6550 · Fax (217) 277-2253

Phone(217) 222-6550

Fax(217) 277-2253

Sole ProprietorNo

Enumeration DateJanuary 2, 2019

Last NPPES UpdateSeptember 10, 20193 updates tracked since enumeration

✔ NPI 1235602293 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 IL · 071-009935

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.

1025 MAINE ST, Quincy, IL 62301

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Clark Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62301 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

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Leave this field empty