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DR. SHARONDA NICOLE CLARK MD
NPI 1487807145
Psychiatry & Neurology - Child & Adolescent Psychiatry in Hackensack, NJ

Active since October 28, 2008PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-4450(551) 996-5729 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2020, Aug 20, 2018 (2 updates tracked since 2018).

About Dr. Sharonda Nicole Clark Md NPPES

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

DR. SHARONDA NICOLE CLARK MD (NPI 1487807145) is an individual child & adolescent psychiatry provider in Hackensack, New Jersey, licensed in New Jersey (25MA10947800) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487807145
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SHARONDA NICOLE CLARKCredential: MD
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address14007 Summer Ash LnHouston, TX 77044-5017 · (214) 738-2265
Phone(551) 996-4450
Fax(551) 996-5729
Sole ProprietorNo
Enumeration DateOctober 28, 2008
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1487807145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in NJ · 25MA10947800✔ Licensed in TX · P1979
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
30 PROSPECT AVE, Hackensack, NJ 07601
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Other Identifiers 1

Medicaid080462703TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sharonda Nicole Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
JOSE DESCHAMPS
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802

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 Sharonda Clark's NPI number?

The NPI number for Sharonda Clark is 1487807145. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Sharonda Clark located?

Sharonda Clark practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-4450.

What is Sharonda Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Sharonda Clark enrolled in Medicare?

Yes. Sharonda Clark is registered in the Medicare PECOS enrollment system.

What insurance does Sharonda Clark accept?

Health plans from Blue Cross and Blue Shield of Texas list Sharonda 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 Sharonda Clark was last updated on December 8, 2020. 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.