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MICHAEL ERIC CLARK R.N.
NPI 1336407444
Registered Nurse - Psychiatric/Mental Health in Georgetown, OH

Active since April 26, 2012
75 BANTING DR, GEORGETOWN, OH 45121(937) 378-4811(937) 378-4812 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Eric Clark R.n. NPPES

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

MICHAEL ERIC CLARK R.N. (NPI 1336407444) is an individual psychiatric/mental health provider in Georgetown, Ohio, licensed in Ohio (RN 300536) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1336407444
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameMICHAEL ERIC CLARKCredential: R.N.
Location Address75 BANTING DRGeorgetown, OH 45121-1460
Mailing Address75 Banting DrGeorgetown, OH 45121-1460 · (937) 378-4811 · Fax (937) 378-4812
Phone(937) 378-4811
Fax(937) 378-4812
Sole ProprietorNo
Enumeration DateApril 26, 2012
✔ NPI 1336407444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in OH · RN 300536
75 BANTING DR, Georgetown, OH 45121
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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.

JAMES JOHNSON LPCC
Social Worker
75 BANTING DR
GEORGETOWN, OH 45121
Brown County (937) 378-4811
PATRICIA MALOTT RN
Registered Nurse
75 BANTING DR
GEORGETOWN, OH 45121
Brown County (937) 378-4811
MELISSA M LUNCAN LSW
Social Worker
75 BANTING DR
GEORGETOWN, OH 45121
Brown County (937) 378-4811
MR. JAY SCHULTZ LPCC
Counselor (Mental Health)
75 BANTING DR
GEORGETOWN, OH 45121
Brown County (937) 444-6127
MS. ANDREA J MILANI LCDC
Counselor (Addiction (Substance Use Disorder))
75 BANTING DR
GEORGETOWN, OH 45121
Brown County (937) 378-4811
DARREN RAY BURNS LCDC III
Counselor (Professional)
75 BANTING DR
GEORGETOWN, OH 45121
Brown County (937) 378-4811
CHELISA KAY CLIFTON
Case Manager/Care Coordinator
75 BANTING DR
GEORGETOWN, OH 45121
Brown County (937) 378-4811
MRS. NICOLE AMBER BASDON
Case Manager/Care Coordinator
75 BANTING DR
GEORGETOWN, OH 45121
Brown County (927) 378-4811

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1336407444. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Michael Clark located?

Michael Clark practices at 75 Banting Dr, Georgetown, OH 45121. The listed phone number is (937) 378-4811.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.