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SUSAN L CLARK MD
NPI 1598892085
Psychiatry & Neurology - Psychiatry in Mukilteo, WA

Active since February 28, 2007PECOS Enrolled
9515 60TH AVE W, MUKILTEO, WA 98275(425) 355-2800(425) 355-2882 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan L Clark Md NPPES

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

SUSAN L CLARK MD (NPI 1598892085) is an individual psychiatry provider in Mukilteo, Washington, licensed in Washington (025209MD00022790) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598892085
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSUSAN L CLARKCredential: MD
Location Address9515 60TH AVE WMukilteo, WA 98275
Mailing Address9515 60th Ave WMukilteo, WA 98275 · (425) 355-2800 · Fax (425) 355-2882
Phone(425) 355-2800
Fax(425) 355-2882
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateDecember 20, 2011
✔ NPI 1598892085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · 025209MD00022790
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
9515 60TH AVE W, Mukilteo, WA 98275
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Other Identifiers 11

Other9120238161816CLRegence
Other91202381600Uniform
Medicare UPIN8868682WA
Other389227520070221WA · Community Health Plan
Medicaid1117944WA
Other148493100000Premera
Medicare UPINF75788
Other177558WA · Valueoptions
Other381601Pacificare
Medicare ID-Type UnspecifiedAB17499WA
Other822269436WA · United Behavioral Health

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan L 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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shifa Health PLLC
35 mi
Cognitive & Behavioral
1103 CLEVELAND AVE
Mount Vernon, WA 98273
  • Reassigned Medicare billing, Washington enrollment
  • 29 clinicians in this Medicare group
NPI 1356415327 (360) 336-6868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98275 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

S L CLARK MD INC PS
Psychologist (Psychoanalysis)
9515 60TH AVE W
MUKILTEO, WA 98275
Snohomish County (425) 355-2800

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 Susan Clark's NPI number?

The NPI number for Susan Clark is 1598892085. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Susan Clark located?

Susan Clark practices at 9515 60th Ave W, Mukilteo, WA 98275. The listed phone number is (425) 355-2800.

What is Susan Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Susan Clark enrolled in Medicare?

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

Which organization bills Medicare for Susan Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Clark reassigns Medicare benefits to Shifa Health PLLC (Mount Vernon, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Clark was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.