MR. DOUGLASS BURNS CLARK M.DIV
NPI 1386470789
Marriage & Family Therapist in Canaan, NY

Q: What is Douglass Clark's NPI number?

The NPI number for Douglass Clark is 1386470789. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Q: What is Douglass Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglass Clark was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 11, 2024

1559 COUNTY ROUTE 5, CANAAN, NY 12029(917) 968-2493 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Douglass Burns Clark M.div NPPES

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

MR. DOUGLASS BURNS CLARK M.DIV (NPI 1386470789) is an individual marriage & family therapist in Canaan, New York, licensed in New York (000546) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1386470789

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. DOUGLASS BURNS CLARKCredential: M.DIV

Location Address1559 COUNTY ROUTE 5Canaan, NY 12029

Mailing AddressP.o. Box 75Canaan, NY 12029 · (917) 968-2493

Phone(917) 968-2493

Sole ProprietorYes

Enumeration DateSeptember 11, 2024

✔ NPI 1386470789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NY · 000546

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1559 COUNTY ROUTE 5, Canaan, NY 12029

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Douglass Clark's NPI number?

The NPI number for Douglass Clark is 1386470789. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Where is Douglass Clark located?

Douglass Clark practices at 1559 County Route 5, Canaan, NY 12029. The listed phone number is (917) 968-2493.

What is Douglass Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Douglass Clark was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.