DR. JUDITH Z CLARK PHD
NPI 1356440275
Psychologist - Clinical in Mammoth Lakes, CA

Q: What is Judith Clark's NPI number?

The NPI number for Judith Clark is 1356440275. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Judith 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 Judith Clark was last updated on September 20, 2011. 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.

Active since September 21, 2006

126 OLD MAMMOTH RD, SUITE 214, MAMMOTH LAKES, CA 93546(760) 924-8503(760) 924-0541 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Judith Z Clark Phd NPPES

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

DR. JUDITH Z CLARK PHD (NPI 1356440275) is an individual clinical provider in Mammoth Lakes, California, licensed in California (PSY13963) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1356440275

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JUDITH Z CLARKCredential: PHD

Location Address126 OLD MAMMOTH RD, SUITE 214Mammoth Lakes, CA 93546

Mailing AddressPo 100 Pmb 470Mammoth Lakes, CA 93546-0100 · (760) 924-8503 · Fax (760) 924-0541

Phone(760) 924-8503

Fax(760) 924-0541

Sole ProprietorNo

Enumeration DateSeptember 21, 2006

Last NPPES UpdateSeptember 20, 2011

✔ NPI 1356440275 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 · PSY13963

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.

126 OLD MAMMOTH RD, Mammoth Lakes, CA 93546

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Other Identifiers 5

Medicare UPINR94124

MedicaidPSY139630CA

Medicare ID-Type UnspecifiedIDCP13963CA

Other11413861Aetna

OtherCP13963CA · Medicare Ptan

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 Judith Clark's NPI number?

The NPI number for Judith Clark is 1356440275. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Judith Clark located?

Judith Clark practices at 126 Old Mammoth Rd Suite 214, Mammoth Lakes, CA 93546. The listed phone number is (760) 924-8503.

What is Judith Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Judith Clark was last updated on September 20, 2011. 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.