SUSAN L. CLARK, M.D.
NPI 1528257433
Psychologist - Psychoanalysis in Mukilteo, WA

NPI Status: Active since October 16, 2007

Contact Information

9515 60TH AVE W
MUKILTEO, WA
ZIP 98275
Phone: (425) 355-2800
Fax: (425) 355-2882

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  • Organization
  • Psychologist
  • Psychoanalysis

About SUSAN L. CLARK, M.D.

This page provides the complete NPI Profile along with additional information for Susan L. Clark, M.d., a provider established in Mukilteo, Washington operating as a Psychologist, focusing in psychoanalysis . The healthcare provider is registered in the NPI registry with number 1528257433 assigned on October 2007. The practitioner's primary taxonomy code is 103TP0814X with license number MD00022790 (WA). The provider is registered as an organization and their NPI record was last updated 15 years ago. Susan L. Clark, M.d. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Susan L. Clark, M.d.. The authorized official of this NPI record is Susan L Clark Md (President)

NPI
1528257433
Provider Legal Name
S L CLARK MD INC PS
Other Organization Name
SUSAN L. CLARK, M.D.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9515 60TH AVE W MUKILTEO, WA 98275
Location Phone
(425) 355-2800
Location Fax
(425) 355-2882
Mailing Address
9515 60TH AVE W MUKILTEO, WA 98275
Mailing Phone
(425) 355-2800
Mailing Fax
(425) 355-2882
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2007
Last Update Date
04-19-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Psychoanalysis

Taxonomy Code
103TP0814X
Type
Behavioral Health & Social Service Providers
License No.
MD00022790
License State
WA
Taxonomy Description
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TP0016XBehavioral Health & Social Service Providers

Psychologist
Prescribing (Medical)

MD00022790 (WA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN L CLARK MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(425) 355-2800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AB17499MEDICARE UPIN (02)WA 
GAB17499MEDICARE UPIN (02)WA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1528257433, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 4 + 5 + 1 + 4 + 4 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1528257433.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
9515 60TH AVE W
MUKILTEO, WA 98275

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528257433, enumerated as an "organization" on October 16, 2007.

The provider is located at 9515 60TH AVE W MUKILTEO, WA 98275 and the phone number is (425) 355-2800.

Psychologist with taxonomy code 103TP0814X and a focus in Psychoanalysis.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.