DR. JAIME ANN CLARK PH.D.
NPI 1457641045
Psychologist - Clinical in Herrin, IL

Q: What is Jaime Clark's NPI number?

The NPI number for Jaime Clark is 1457641045. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Q: What is Jaime 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 Jaime Clark was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 15, 2011

413 JESSE LN, HERRIN, IL 62948(970) 397-3005 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jaime Ann Clark Ph.d. NPPES

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

DR. JAIME ANN CLARK PH.D. (NPI 1457641045) is an individual clinical provider in Herrin, Illinois, licensed in Illinois (071.007614) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1457641045

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JAIME ANN CLARKCredential: PH.D.

Location Address413 JESSE LNHerrin, IL 62948-3786

Mailing Address413 Jesse LnHerrin, IL 62948-3786 · (970) 397-3005

Phone(970) 397-3005

Sole ProprietorYes

Enumeration DateApril 15, 2011

✔ NPI 1457641045 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 IL · 071.007614

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.

413 JESSE LN, Herrin, IL 62948

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Other Providers at the Same Location NPPES

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

LISA FORD

Physical Therapy Assistant

413 JESSE LN
HERRIN, IL 62948

Williamson County (573) 673-6672

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 Jaime Clark's NPI number?

The NPI number for Jaime Clark is 1457641045. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Jaime Clark located?

Jaime Clark practices at 413 Jesse Ln, Herrin, IL 62948. The listed phone number is (970) 397-3005.

What is Jaime 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 Jaime Clark was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.