ANDREW R CLARK PH.D.
NPI 1629010533
Psychologist in National City, CA

Active since June 12, 2006
2400 E 4TH ST, SUITE 100, NATIONAL CITY, CA 91950(619) 631-0128(619) 631-0153 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew R Clark Ph.d. NPPES

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

ANDREW R CLARK PH.D. (NPI 1629010533) is an individual psychologist in National City, California, licensed in California (PSY10061) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629010533
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameANDREW R CLARKCredential: PH.D.
Location Address2400 E 4TH ST, SUITE 100National City, CA 91950-2026
Mailing AddressPo Box 511347, Suite 100Los Angeles, CA 90051-7902 · (619) 631-0128 · Fax (619) 631-0153
Fax(619) 631-0153
Sole ProprietorYes
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 28, 2017
NPI 1629010533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY10061
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2400 E 4TH ST, National City, CA 91950

Other Identifiers 2

Medicare UPINPSY10061CA
Medicare ID-Type UnspecifiedCP10061CA

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.

Emergency Medicine
2400 E 4TH ST
NATIONAL CITY, CA 91950
Registered Nurse
2400 E 4TH ST
NATIONAL CITY, CA 91950
Speech-Language Pathologist
2400 E 4TH ST
NATIONAL CITY, CA 91950
Emergency Medicine
2400 E 4TH ST, EMERGENCY DEPARTMENT
NATIONAL CITY, CA 91950
Pathology (Anatomic Pathology & Clinical Pathology)
2400 E 4TH ST
NATIONAL CITY, CA 91950
Nurse Anesthetist, Certified Registered
2400 E 4TH ST
NATIONAL CITY, CA 91950
Hospitalist
2400 E 4TH ST
NATIONAL CITY, CA 91950
Radiology (Diagnostic Radiology)
2400 E 4TH ST
NATIONAL CITY, CA 91950

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 Andrew Clark's NPI number?

The NPI number for Andrew Clark is 1629010533. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Andrew Clark located?

Andrew Clark practices at 2400 E 4th St Suite 100, National City, CA 91950. The listed phone number is (619) 631-0128.

What is Andrew Clark's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Andrew Clark was last updated on March 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.