ELIZABETH MARTIN CLARK PHD
NPI 1396624466
Psychologist - Clinical in New York, NY

Q: What is Elizabeth Clark's NPI number?

The NPI number for Elizabeth Clark is 1396624466. It was assigned to this individual provider in the NPPES registry on September 1, 2025.

Q: What is Elizabeth 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 Elizabeth Clark was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 01, 2025

626 1ST AVE APT W11K, NEW YORK, NY 10016(510) 304-7711 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Elizabeth Martin Clark Phd NPPES

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

ELIZABETH MARTIN CLARK PHD (NPI 1396624466) is an individual clinical provider in New York, New York, licensed in New York (025813) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1396624466

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameELIZABETH MARTIN CLARKCredential: PHD

Location Address626 1ST AVE APT W11KNew York, NY 10016-3866

Mailing Address626 1st Ave Apt W11kNew York, NY 10016-3866

Phone(510) 304-7711

Sole ProprietorYes

Enumeration DateSeptember 1, 2025

NPPES CertifiedSeptember 1, 2025

✔ NPI 1396624466 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 NY · 025813

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.

626 1ST AVE APT W11K, New York, NY 10016

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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 Elizabeth Clark's NPI number?

The NPI number for Elizabeth Clark is 1396624466. It was assigned to this individual provider in the NPPES registry on September 1, 2025.

Where is Elizabeth Clark located?

Elizabeth Clark practices at 626 1st Ave Apt W11k, New York, NY 10016. The listed phone number is (510) 304-7711.

What is Elizabeth 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 Elizabeth Clark was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.