MATTHEW M. CLARK PHD
NPI 1366420895
Psychologist - Clinical in Rochester, MN

Q: What is Matthew Clark's NPI number?

The NPI number for Matthew Clark is 1366420895. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Q: What is Matthew 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 Matthew Clark was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 05, 2006PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Matthew M. Clark Phd NPPES

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

MATTHEW M. CLARK PHD (NPI 1366420895) is an individual clinical provider in Rochester, Minnesota, licensed in Minnesota (LP4101) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1366420895

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMATTHEW M. CLARKCredential: PHD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJanuary 5, 2006

Last NPPES UpdateAugust 24, 2020

NPPES CertifiedAugust 24, 2020

✔ NPI 1366420895 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 MN · LP4101

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.

200 1ST ST SW, Rochester, MN 55905

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Other Identifiers 1

Medicaid166326700MN

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

Matthew M. Clark Phd 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 ID941345979

PECOS Enrollment IDI20100302000749

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of behavior impacting health in group setting, each additional 30 minutes 96165

This treatment involves group sessions aimed at addressing behaviors impacting health. Each additional half-hour allows for deeper exploration of these behaviors and learning new strategies for change. It's a supportive environment for shared learning and growth.

141 services13 patients

Treatment of behavior impacting health in group setting, initial 30 minutes 96164

This is a group therapy session focusing on behaviors that affect health. In the initial 30 minutes, individuals share experiences and learn strategies to manage these behaviors. It's a supportive, confidential environment for personal growth and change.

71 services13 patients

Treatment of behavior impacting health, initial 30 minutes 96158

This service involves a healthcare professional working with you for 30 minutes to address behaviors that are negatively affecting your health. They will help you understand and modify these behaviors, improving your overall well-being.

17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

EMILY LEASURE MD

Internal Medicine