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

Q: 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.

Q: What is Carolyn Clarke'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 Carolyn Clarke was last updated on January 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2024PECOS Enrolled

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: July 26, 2026.

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carolyn Clarke Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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))