1. Home
  2. Directory
  3. Colorado
  4. Boulder
  5. Community Behavioral Health
  6. NPI Profile

CAROL HATHAWAY-CLARK, PH.D., LLC
NPI 1558595181
Community/Behavioral Health in Boulder, CO

Active since May 11, 2009
3393 IRIS AVE STE 104, BOULDER, CO 80301(303) 440-0295 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol Hathaway-clark, Ph.d., Llc NPPES

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

CAROL HATHAWAY-CLARK, PH.D., LLC (NPI 1558595181) is a healthcare organization registered as a community/behavioral health in Boulder, Colorado and active in the NPI registry since May 2009. The organization lists Carol Hathaway-clark, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1558595181
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCAROL HATHAWAY-CLARK, PH.D., LLC
Location Address3393 IRIS AVE STE 104Boulder, CO 80301-1956
Mailing Address3393 Iris Ave Ste 104Boulder, CO 80301-1956 · (303) 440-0295
Phone(303) 440-0295
Organization SubpartNo
Authorized OfficialCarol Hathaway-clarkClinical Psychologist · (303) 440-0295
Enumeration DateMay 11, 2009
✔ NPI 1558595181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CO · 1789
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3393 IRIS AVE STE 104, Boulder, CO 80301
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

LUNASA COUNSELING AND WELLNESS
Clinic/Center (Mental Health (Including Community Mental Health Center))
3393 IRIS AVE STE 104
BOULDER, CO 80301
Boulder County (303) 736-9566
KATHRYN SCANLON LCSW
Social Worker (Clinical)
3393 IRIS AVE STE 104
BOULDER, CO 80301
Boulder County (156) 668-3480
DR. CAROL HATHAWAY-CLARK PH.D.
Psychologist
3393 IRIS AVE STE 104
BOULDER, CO 80301
Boulder County (303) 440-0295
KRISTEN O'KELLY LPCC, CAS
Counselor (Professional)
3393 IRIS AVE STE 104
BOULDER, CO 80301
Boulder County (303) 736-9566
AISLING CROSSON MA, LPCC
Counselor (Professional)
3393 IRIS AVE STE 104
BOULDER, CO 80301
Boulder County (303) 548-4164

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 Carol Hathaway-Clark, Ph.D., LLC's NPI number?

The NPI number for Carol Hathaway-Clark, Ph.D., LLC is 1558595181. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is Carol Hathaway-Clark, Ph.D., LLC located?

Carol Hathaway-Clark, Ph.D., LLC is located at 3393 Iris Ave Ste 104, Boulder, CO 80301. The listed phone number is (303) 440-0295.

What is Carol Hathaway-Clark, Ph.D., LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Carol Hathaway-Clark, Ph.D., LLC was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.