DR. WILLIAM H CLARK PH.D.
NPI 1366464364
Psychologist in Ridgewood, NJ

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
530 N MAPLE AVE, RIDGEWOOD, NJ 07450(201) 689-8293(201) 689-8293 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. William H Clark Ph.d. NPPES

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

DR. WILLIAM H CLARK PH.D. (NPI 1366464364) is an individual psychologist in Ridgewood, New Jersey, licensed in New Jersey (35SI00115900) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1972).

NPPES Registry Identity

NPI1366464364
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. WILLIAM H CLARKCredential: PH.D.
Location Address530 N MAPLE AVERidgewood, NJ 07450-1610
Mailing Address311 Kenilworth RdRidgewood, NJ 07450-5201 · (201) 689-8293 · Fax (201) 689-8293
Fax(201) 689-8293
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1366464364 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 NJ · 35SI00115900
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.
530 N MAPLE AVE, Ridgewood, NJ 07450

Other Identifiers 2

Medicare ID-Type Unspecified411781NJ
Medicaid0184705NJ

Accepted Insurance

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

Dr. William H 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 ID3476592601
PECOS Enrollment IDI20050427001055
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.

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
530 N MAPLE AVE
RIDGEWOOD, NJ 07450
Psychologist (Clinical)
530 N MAPLE AVE
RIDGEWOOD, NJ 07450

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 William Clark's NPI number?

The NPI number for William Clark is 1366464364. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is William Clark located?

William Clark practices at 530 N Maple Ave, Ridgewood, NJ 07450. The listed phone number is (201) 689-8293.

What is William Clark's specialty?

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

Is William Clark enrolled in Medicare?

Yes. William 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.

What insurance does William Clark accept?

Health plans from Providence Health Plan list William Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.