CHARLES BRENDAN CLARK PHD
NPI 1417399858
Psychologist in Birmingham, AL

Active since July 26, 2013
1713 6TH AVE S, BIRMINGHAM, AL 35294(205) 801-8000 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Brendan Clark Phd NPPES

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

CHARLES BRENDAN CLARK PHD (NPI 1417399858) is an individual psychologist in Birmingham, Alabama, licensed in Alabama (1731) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1417399858
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameCHARLES BRENDAN CLARKCredential: PHD
Location Address1713 6TH AVE SBirmingham, AL 35294-0018
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorNo
Enumeration DateJuly 26, 2013
NPI 1417399858 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 AL · 1731
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.
1713 6TH AVE S, Birmingham, AL 35294

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.

Psychologist (Clinical)
1713 6TH AVE S
BIRMINGHAM, AL 35294
Student in an Organized Health Care Education/Training Program
1713 6TH AVE S
BIRMINGHAM, AL 35294
Registered Nurse
1713 6TH AVE S
BIRMINGHAM, AL 35294
Social Worker (Clinical)
1713 6TH AVE S
BIRMINGHAM, AL 35294
Registered Nurse
1713 6TH AVE S
BIRMINGHAM, AL 35294
Student in an Organized Health Care Education/Training Program
1713 6TH AVE S
BIRMINGHAM, AL 35294
Psychiatry & Neurology (Psychiatry)
1713 6TH AVE S
BIRMINGHAM, AL 35294
Student in an Organized Health Care Education/Training Program
1713 6TH AVE S
BIRMINGHAM, AL 35294

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 Charles Clark's NPI number?

The NPI number for Charles Clark is 1417399858. It was assigned to this individual provider in the NPPES registry on July 26, 2013.

Where is Charles Clark located?

Charles Clark practices at 1713 6th Ave S, Birmingham, AL 35294. The listed phone number is (205) 801-8000.

What is Charles Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.