KALIN BURKHARDT CLARK PSY.D
NPI 1629446927
Psychologist - Clinical in Portland, OR

Active since September 03, 2015PECOS EnrolledAccepts Medicare Assignment
3303 S BOND AVE, PORTLAND, OR 97239(503) 494-4373(503) 418-4189 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2022, Dec 26, 2019, Aug 8, 2016 (3 updates tracked since 2016).

About Kalin Burkhardt Clark Psy.d NPPES

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

KALIN BURKHARDT CLARK PSY.D (NPI 1629446927) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3096) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629446927
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKALIN BURKHARDT CLARKCredential: PSY.D
Location Address3303 S BOND AVEPortland, OR 97239-4501
Mailing Address3303 S Bond AvePortland, OR 97239-4501 · (503) 494-4373 · Fax (503) 418-4189
Fax(503) 418-4189
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 3, 2015
Last NPPES UpdateNovember 1, 20223 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
NPI 1629446927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OR · 3096
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 3096 (OR)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License PS01577 (RI)
3303 S BOND AVE, Portland, OR 97239

Secondary Practice Locations 2

Location 15211 NE Glisan St Bldg CPortland, OR 97213-3052 · Phone (503) 215-7230
Location 2146 W River St, Suite 11AProvidence, RI 02904-2609 · Phone (401) 793-8770

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kalin Burkhardt Clark Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527349836
PECOS Enrollment IDI20191202000718
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
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 20

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

Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Speech-Language Pathologist
3303 S BOND AVE
PORTLAND, OR 97239
Physician Assistant (Surgical)
3303 S BOND AVE
PORTLAND, OR 97239
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Physician Assistant (Medical)
3303 S BOND AVE
PORTLAND, OR 97239
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Psychiatry & Neurology (Neurology)
3303 S BOND AVE
PORTLAND, OR 97239

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 Kalin Clark's NPI number?

The NPI number for Kalin Clark is 1629446927. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Kalin Clark located?

Kalin Clark practices at 3303 S Bond Ave, Portland, OR 97239. The listed phone number is (503) 494-4373.

What is Kalin Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kalin Clark enrolled in Medicare?

Yes. Kalin Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kalin Clark accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kalin Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kalin Clark affiliated with any hospitals?

According to CMS data, Kalin Clark is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Kalin Clark was last updated on November 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.