MR. CRAIG WILLIAM CLARK CRAIG CLARK, MFT
NPI 1245453034
Marriage & Family Therapist in Santa Clara, CA

Q: What is Craig Clark's NPI number?

The NPI number for Craig Clark is 1245453034. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Craig Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Craig Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment

100 N WINCHESTER BLVD, SUITE 264, SANTA CLARA, CA 95050(408) 296-5758(408) 247-3976 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Craig William Clark Craig Clark, Mft NPPES

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

MR. CRAIG WILLIAM CLARK CRAIG CLARK, MFT (NPI 1245453034) is an individual marriage & family therapist in Santa Clara, California, licensed in California (MFC34874) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1245453034

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. CRAIG WILLIAM CLARKCredential: CRAIG CLARK, MFT

Location Address100 N WINCHESTER BLVD, SUITE 264Santa Clara, CA 95050-6520

Mailing Address100 N Winchester Blvd, Suite 264Santa Clara, CA 95050-6520 · (408) 296-5758 · Fax (408) 247-3976

Phone(408) 296-5758

Fax(408) 247-3976

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateApril 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245453034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC34874

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

100 N WINCHESTER BLVD, Santa Clara, CA 95050

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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

Mr. Craig William Clark Craig Clark, Mft 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 ID6305372798

PECOS Enrollment IDI20241209003013

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.

Other Providers at the Same Location NPPES 6

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

MS. YUN CHIEH CHIU L.AC.

Acupuncturist

100 N WINCHESTER BLVD, SUITE 390
SANTA CLARA, CA 95050

Santa Clara County (408) 368-1875

TERI BACH MFT

Counselor (Mental Health)

100 N WINCHESTER BLVD, SUITE 264
SANTA CLARA, CA 95050

Santa Clara County (925) 890-3366

CHD A PROFESSIONAL EDUCATION AND TRAINING CENTER

Community/Behavioral Health

100 N WINCHESTER BLVD, SUITE 275
SANTA CLARA, CA 95050

Santa Clara County (408) 985-8111

DR. LISA OLIVER PH.D.

Psychologist

100 N WINCHESTER BLVD
SANTA CLARA, CA 95050

Santa Clara County (415) 742-2367

EMAS CENTER INC.

Acupuncturist

100 N WINCHESTER BLVD, STE 390
SANTA CLARA, CA 95050

Santa Clara County (626) 627-3586

LIGONG LEON HO L.AC.

Acupuncturist

100 N WINCHESTER BLVD, SUITE 390
SANTA CLARA, CA 95050

Santa Clara County (510) 378-6133

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 Craig Clark's NPI number?

The NPI number for Craig Clark is 1245453034. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Craig Clark located?

Craig Clark practices at 100 N Winchester Blvd Suite 264, Santa Clara, CA 95050. The listed phone number is (408) 296-5758.

What is Craig Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Craig Clark enrolled in Medicare?

Yes. Craig 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.

When was this NPI record last updated?

The NPPES record for Craig Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.