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WILLIAM ROBERT CLARK MD
NPI 1649665019
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wpafb, OH

Active since April 02, 2015PECOS Enrolled
4881 SUGAR MAPLE DR, WPAFB, OH 45433(937) 257-6877 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, Feb 9, 2024, Jan 14, 2020 and 1 more (4 updates tracked since 2018).

About William Robert Clark Md NPPES

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

WILLIAM ROBERT CLARK MD (NPI 1649665019) is an individual child & adolescent psychiatry provider in Wpafb, Ohio, licensed in Ohio (35.132272) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Cincinnati College Of Medicine (2015).

NPPES Registry Identity

NPI1649665019
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameWILLIAM ROBERT CLARKCredential: MD
Location Address4881 SUGAR MAPLE DRWpafb, OH 45433-5529
Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529 · (937) 257-6877
Phone(937) 257-6877
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateMay 11, 20264 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1649665019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in OH · 35.132272
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 35.132272 (OH)
4881 SUGAR MAPLE DR, Wpafb, OH 45433
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13300 W Tech BlvdMiamisburg, OH 45342-4865 · Phone (937) 641-4040 · Fax (937) 641-3066
Location 21 Childrens PlzDayton, OH 45404-1815 · Phone (937) 641-4040 · Fax (937) 641-3066
Location 3860 Valley StDayton, OH 45404-2066 · Phone (937) 641-3060 · Fax (937) 641-3285

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Robert Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022322718
PECOS Enrollment IDI20260403001888
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 Reassignments

2

Medicare enrollment records show William Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dayton Children's Hospital
7.4 mi
Social Worker
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Hospital
  • 165 clinicians in this Medicare group
NPI 1548045503 (937) 641-4000
Eastway Corporation
8.3 mi
Mental Health (Including Community Mental Health Center)
600 WAYNE AVE
Dayton, OH 45410
  • Reassigned Medicare billing, Ohio enrollment
  • 31 clinicians in this Medicare group
NPI 1811920556 (937) 496-2000

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

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.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

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 William Clark's NPI number?

The NPI number for William Clark is 1649665019. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is William Clark located?

William Clark practices at 4881 Sugar Maple Dr, Wpafb, OH 45433. The listed phone number is (937) 257-6877.

What is William Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is William Clark enrolled in Medicare?

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

Which organizations bill Medicare for William Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Clark reassigns Medicare benefits to 2 organizations: Dayton Children's Hospital (Dayton, OH) and Eastway Corporation (Dayton, OH). Each 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 William Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list William 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.

When was this NPI record last updated?

The NPPES record for William Clark was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.