DR. JILL JEFFERS CLARK MA, PHD
NPI 1447375563
Psychologist in Sacramento, CA

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
874 57TH ST, SACRAMENTO, CA 95819(916) 739-1926(916) 739-1591 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jill Jeffers Clark Ma, Phd NPPES

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

DR. JILL JEFFERS CLARK MA, PHD (NPI 1447375563) is an individual psychologist in Sacramento, California, licensed in California (PSY20715) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1447375563
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JILL JEFFERS CLARKCredential: MA, PHD
Location Address874 57TH STSacramento, CA 95819-3327
Mailing Address611 Rivergate WaySacramento, CA 95831-3344 · (916) 739-1926 · Fax (916) 739-1591
Fax(916) 739-1591
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1447375563 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 CA · PSY20715
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.
874 57TH ST, Sacramento, CA 95819

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. Jill Jeffers Clark Ma, Phd 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 ID9537209218
PECOS Enrollment IDI20091211000222
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.

Other Providers at the Same Location NPPES 16

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

Psychologist (Clinical)
874 57TH ST
SACRAMENTO, CA 95819
Psychologist (Clinical)
874 57TH ST
SACRAMENTO, CA 95819
Marriage & Family Therapist
874 57TH ST
SACRAMENTO, CA 95819
Marriage & Family Therapist
874 57TH ST
SACRAMENTO, CA 95819
Counselor (Mental Health)
874 57TH ST
SACRAMENTO, CA 95819
Social Worker (Clinical)
874 57TH ST
SACRAMENTO, CA 95819
Marriage & Family Therapist
874 57TH ST
SACRAMENTO, CA 95819
Marriage & Family Therapist
874 57TH ST
SACRAMENTO, CA 95819

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 Jill Clark's NPI number?

The NPI number for Jill Clark is 1447375563. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Jill Clark located?

Jill Clark practices at 874 57th St, Sacramento, CA 95819. The listed phone number is (916) 739-1926.

What is Jill Clark's specialty?

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

Is Jill Clark enrolled in Medicare?

Yes. Jill 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.

When was this NPI record last updated?

The NPPES record for Jill Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.