DR. JON B CLARK PHD
NPI 1336118454
Psychologist in Rochester, MI

Active since March 14, 2006
71 WALNUT BLVD, SUITE 109, ROCHESTER, MI 48307(248) 650-8990(248) 650-8990 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jon B Clark Phd NPPES

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

DR. JON B CLARK PHD (NPI 1336118454) is an individual psychologist in Rochester, Michigan, licensed in Michigan (6301005160) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1336118454
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JON B CLARKCredential: PHD
Location Address71 WALNUT BLVD, SUITE 109Rochester, MI 48307-2073
Mailing Address71 Walnut Blvd, Suite 109Rochester, MI 48307-2073 · (248) 650-8990 · Fax (248) 650-8990
Fax(248) 650-8990
Sole ProprietorYes
Enumeration DateMarch 14, 2006
Last NPPES UpdateDecember 7, 2016
NPI 1336118454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301005160
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

71 WALNUT BLVD, Rochester, MI 48307

Other Identifiers 2

Medicare UPINR67275
Medicare ID-Type Unspecified0F349203681

Other Providers at the Same Location NPPES 5

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

Marriage & Family Therapist
71 WALNUT BLVD, SUITE 109
ROCHESTER, MI 48307
Social Worker (Clinical)
71 WALNUT BLVD, SUITE #109
ROCHESTER, MI 48307
Counselor
71 WALNUT BLVD
ROCHESTER, MI 48307
Counselor (Professional)
71 WALNUT BLVD, SUITE 207
ROCHESTER, MI 48307
Counselor (Professional)
71 WALNUT BLVD
ROCHESTER, MI 48307

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 Jon Clark's NPI number?

The NPI number for Jon Clark is 1336118454. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Jon Clark located?

Jon Clark practices at 71 Walnut Blvd Suite 109, Rochester, MI 48307. The listed phone number is (248) 650-8990.

What is Jon Clark's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jon Clark was last updated on December 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.