ANN CLARK PH.D.
NPI 1275735946
Psychologist - Clinical in Bellevue, WA

Q: What is Ann Clark's NPI number?

The NPI number for Ann Clark is 1275735946. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Q: What is Ann 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 Ann Clark was last updated on April 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 June 04, 2007PECOS EnrolledAccepts Medicare Assignment

1601-114TH AVE S.E., SUITE 108, BELLEVUE, WA 98004(425) 455-8518 Get Directions Write a Review

NPPES record last updated: April 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ann Clark Ph.d. NPPES

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

ANN CLARK PH.D. (NPI 1275735946) is an individual clinical provider in Bellevue, Washington, licensed in Washington (PY2707) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1275735946

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameANN CLARKCredential: PH.D.

Location Address1601-114TH AVE S.E., SUITE 108Bellevue, WA 98004

Mailing Address1601-114th Ave S.e. , Ste. 108Bellevue, WA 98004 · (425) 455-8518

Phone(425) 455-8518

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateJune 4, 2007

Last NPPES UpdateApril 5, 2026

NPPES CertifiedApril 5, 2026

✔ NPI 1275735946 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 WA · PY2707

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.

1601-114TH AVE S.E., Bellevue, WA 98004

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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

Ann Clark Ph.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 ID5193993764

PECOS Enrollment IDI20110726000551

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 98004 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

$189.37 typical visit price

range $63.67 – $189.37

Typical copayment $47.34 (range $15.91 – $47.34)

Most-billed visit code 99205

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

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 Ann Clark's NPI number?

The NPI number for Ann Clark is 1275735946. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Ann Clark located?

Ann Clark practices at 1601-114th Ave S.E. Suite 108, Bellevue, WA 98004. The listed phone number is (425) 455-8518.

What is Ann Clark's specialty?

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

Is Ann Clark enrolled in Medicare?

Yes. Ann 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 Ann Clark was last updated on April 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.