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AVA CLARK
NPI 1417546110
Counselor - Addiction (Substance Use Disorder) in Peekskill, NY

Active since January 16, 2021
1037 MAIN ST, PEEKSKILL, NY 10566(914) 734-8740 Get Directions Write a Review

NPPES record last updated: January 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ava Clark NPPES

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

AVA CLARK (NPI 1417546110) is an individual addiction (substance use disorder) provider in Peekskill, New York and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1417546110
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAVA CLARK
Location Address1037 MAIN STPeekskill, NY 10566-2913
Mailing Address1037 Main StPeekskill, NY 10566-2913 · (914) 734-8740
Phone(914) 734-8740
Sole ProprietorYes
Enumeration DateJanuary 16, 2021
NPPES CertifiedJanuary 16, 2021
✔ NPI 1417546110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1037 MAIN ST, Peekskill, NY 10566
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Other Identifiers 1

Medicaid13-2828349NY

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.

DANIEL E KOBLENTZ M.D.
Psychiatry & Neurology (Psychiatry)
1037 MAIN ST
PEEKSKILL, NY 10566
Westchester County (914) 734-8800
CHELSEA BODNAR MD
Pediatrics
1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC.
PEEKSKILL, NY 10566
Westchester County (914) 734-8800
EDWIN CALERO CASAC
Counselor (Addiction (Substance Use Disorder))
1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC.
PEEKSKILL, NY 10566
Westchester County (914) 734-8800
DR. LAURA ELIZABETH MIESZERSKI M.D.
Obstetrics & Gynecology
1037 MAIN ST, HUDSON RIVER HEALTHCARE INC
PEEKSKILL, NY 10566
Westchester County (845) 831-0400
KAREN MAHAKIAN RDH
Dental Hygienist
1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC.
PEEKSKILL, NY 10566
Westchester County (914) 734-8800
EVERGREEN PHARMACY GROUP, INC.
Pharmacy
1037 MAIN ST
PEEKSKILL, NY 10566
Westchester County (914) 734-8750
ELIZABETH PINCUS DPM
Podiatrist
1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC.
PEEKSKILL, NY 10566
Westchester County (845) 831-0400
LORNA M RANGER-JOHNSON LCSW
Social Worker (Clinical)
1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC.
PEEKSKILL, NY 10566
Westchester County (914) 734-8800

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 Ava Clark's NPI number?

The NPI number for Ava Clark is 1417546110. It was assigned to this individual provider in the NPPES registry on January 16, 2021.

Where is Ava Clark located?

Ava Clark practices at 1037 Main St, Peekskill, NY 10566. The listed phone number is (914) 734-8740.

What is Ava Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ava Clark was last updated on January 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.