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DR. CAROLYN CLARKE PSYD
NPI 1275394843
Psychologist - Clinical in San Diego, CA

Active since January 19, 2024PECOS EnrolledAccepts Medicare Assignment
9920 PACIFIC HEIGHTS BLVD STE 150, SAN DIEGO, CA 92121(858) 752-2950 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Carolyn Clarke Psyd NPPES

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

DR. CAROLYN CLARKE PSYD (NPI 1275394843) is an individual clinical provider in San Diego, California, licensed in California (34816) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1275394843
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CAROLYN CLARKECredential: PSYD
Location Address9920 PACIFIC HEIGHTS BLVD STE 150San Diego, CA 92121-4361
Mailing Address1286 University Ave # 812San Diego, CA 92103-3312 · (858) 752-2950
Phone(858) 752-2950
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1275394843 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 CA · 34816
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.
9920 PACIFIC HEIGHTS BLVD STE 150, San Diego, CA 92121
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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

Dr. Carolyn Clarke Psyd 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 ID2567931934
PECOS Enrollment IDI20260514002740
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 Reassignment

Medicare enrollment records show Carolyn Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cyti Health PC
13 mi
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978

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 92121 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

HEALTH AND WELLNESS OUTLOOK NURSING SERVICES, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
9920 PACIFIC HEIGHTS BLVD STE 150
SAN DIEGO, CA 92121
San Diego County (619) 345-0086
AUDREY MASUOKA
Behavior Technician
9920 PACIFIC HEIGHTS BLVD STE 150
SAN DIEGO, CA 92121
San Diego County (855) 824-5669
FLOW WELLNESS AND PSYCHOTHERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
9920 PACIFIC HEIGHTS BLVD STE 150
SAN DIEGO, CA 92121
San Diego County (858) 255-0357
UNDA PSYCHIATRY AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
Nurse Practitioner (Psychiatric/Mental Health)
9920 PACIFIC HEIGHTS BLVD STE 150
SAN DIEGO, CA 92121
San Diego County (619) 393-9693
DR. JEFFREY R ZOOK PSY.D.
Psychologist
9920 PACIFIC HEIGHTS BLVD STE 150
SAN DIEGO, CA 92121
San Diego County (619) 403-9399
SHARE YOUR CARE, INC.
In Home Supportive Care
9920 PACIFIC HEIGHTS BLVD STE 150
SAN DIEGO, CA 92121
San Diego County (858) 216-2040
MARINA AUTISM SERVICES LLC
Behavior Analyst
9920 PACIFIC HEIGHTS BLVD STE 150
SAN DIEGO, CA 92121
San Diego County (615) 861-9786
KERK EDWARD C ANG
Behavior Technician
9920 PACIFIC HEIGHTS BLVD STE 150
SAN DIEGO, CA 92121
San Diego County (408) 499-0700

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 Carolyn Clarke's NPI number?

The NPI number for Carolyn Clarke is 1275394843. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Carolyn Clarke located?

Carolyn Clarke practices at 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121. The listed phone number is (858) 752-2950.

What is Carolyn Clarke's specialty?

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

Is Carolyn Clarke enrolled in Medicare?

Yes. Carolyn Clarke 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 organization bills Medicare for Carolyn Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Clarke reassigns Medicare benefits to Cyti Health PC (San Diego, CA). The 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 Carolyn Clarke'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 Carolyn Clarke was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.