DR. THOMAS R CLARK PH.D.
NPI 1407866981
Psychologist - Clinical in Northville, MI

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
41820 6 MILE RD, SUITE 104, NORTHVILLE, MI 48168(248) 349-3131(248) 349-3232 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas R Clark Ph.d. NPPES

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

DR. THOMAS R CLARK PH.D. (NPI 1407866981) is an individual clinical provider in Northville, Michigan, licensed in Michigan (6301001244) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1972).

NPPES Registry Identity

NPI1407866981
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THOMAS R CLARKCredential: PH.D.
Location Address41820 6 MILE RD, SUITE 104Northville, MI 48168-2763
Mailing Address41820 6 Mile Rd, Suite 104Northville, MI 48168-2763 · (248) 349-3131 · Fax (248) 349-3232
Fax(248) 349-3232
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1407866981 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 MI · 6301001244
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.

41820 6 MILE RD, Northville, MI 48168

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. Thomas R 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 ID749284594
PECOS Enrollment IDI20080530000782
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48168 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 2

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

Psychologist (Group Psychotherapy)
41820 6 MILE RD, 104
NORTHVILLE, MI 48168
Psychologist (Clinical)
41820 6 MILE RD
NORTHVILLE, MI 48168

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 Thomas Clark's NPI number?

The NPI number for Thomas Clark is 1407866981. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Thomas Clark located?

Thomas Clark practices at 41820 6 Mile Rd Suite 104, Northville, MI 48168. The listed phone number is (248) 349-3131.

What is Thomas Clark's specialty?

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

Is Thomas Clark enrolled in Medicare?

Yes. Thomas 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 Thomas Clark accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Thomas 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 Thomas Clark was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.