MR. ANDREW PAUL CLACK MA
NPI 1578903175
Marriage & Family Therapist in Rancho Cucamonga, CA

Q: What is Andrew Clack's NPI number?

The NPI number for Andrew Clack is 1578903175. It was assigned to this individual provider in the NPPES registry on June 27, 2013. The provider is also known as Mr. Andy Paul Clack Ma.

Q: What is Andrew Clack's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Clack was last updated on September 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 27, 2013

9330 BASELINE RD STE 102, RANCHO CUCAMONGA, CA 91701(951) 235-2372(909) 981-2210 Get Directions Write a Review

NPPES record last updated: September 3, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Mr. Andrew Paul Clack Ma NPPES

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

MR. ANDREW PAUL CLACK MA (NPI 1578903175) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (96297) and active in the NPI registry since June 2013. He maintains a secondary practice location in Moreno Valley.

NPPES Registry Identity

NPI1578903175

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. ANDREW PAUL CLACKCredential: MA

Location Address9330 BASELINE RD STE 102Rancho Cucamonga, CA 91701

Mailing Address9330 Baseline Rd Ste 102Rancho Cucamonga, CA 91701-5827 · (951) 235-2372 · Fax (909) 981-2210

Phone(951) 235-2372

Fax(909) 981-2210

Sole ProprietorYes

Enumeration DateJune 27, 2013

Last NPPES UpdateSeptember 3, 2018

✔ NPI 1578903175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 96297

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

9330 BASELINE RD STE 102, Rancho Cucamonga, CA 91701

Open in Google Maps ↗

Other Names 1

Other Name (5)Mr. Andy Paul Clack Ma

Secondary Practice Location 1

Location 112968 Frederick St Ste AMoreno Valley, CA 92553-5229 · Phone (951) 247-7077

Other Providers at the Same Location NPPES 6

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

ANDREA G MOORE-EMMETT LMFT

Marriage & Family Therapist