DR. MARY MCGINN CLARK PH.D.
NPI 1659374775
Psychologist - Counseling in San Diego, CA

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
10981 SAN DIEGO MISSION RD, STE 114, SAN DIEGO, CA 92108(619) 280-0285(619) 280-0286 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Mcginn Clark Ph.d. NPPES

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

DR. MARY MCGINN CLARK PH.D. (NPI 1659374775) is an individual counseling provider in San Diego, California, licensed in California (PSY 17897) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1659374775
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. MARY MCGINN CLARKCredential: PH.D.
Location Address10981 SAN DIEGO MISSION RD, STE 114San Diego, CA 92108-2448
Mailing Address10981 San Diego Mission Rd, Ste 114San Diego, CA 92108-2448 · (619) 280-0285 · Fax (619) 280-0286
Fax(619) 280-0286
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateMay 23, 2005
Last NPPES UpdateNovember 1, 2011
NPI 1659374775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in CA · PSY 17897
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFC 17748 (CA)
10981 SAN DIEGO MISSION RD, San Diego, CA 92108

Other Identifiers 2

Medicare ID-Type UnspecifiedCP17897CA · Psychologist
MedicaidEPS004410CA

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

Dr. Mary Mcginn Clark Ph.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 ID5294990719
PECOS Enrollment IDI20120709000518
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.

Other Providers at the Same Location NPPES 12

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

Community Health Worker
10981 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108
Counselor (Mental Health)
10981 SAN DIEGO MISSION RD, SUITE 110
SAN DIEGO, CA 92108
Counselor (Mental Health)
10981 SAN DIEGO MISSION RD, SUITE 110
SAN DIEGO, CA 92108
Case Manager/Care Coordinator
10981 SAN DIEGO MISSION RD, STE 110
SAN DIEGO, CA 92108
Psychologist
10981 SAN DIEGO MISSION RD, SUITE 114
SAN DIEGO, CA 92108
Rehabilitation Practitioner
10981 SAN DIEGO MISSION RD, SUITE 110
SAN DIEGO, CA 92108
Counselor (Mental Health)
10981 SAN DIEGO MISSION RD, SUITE 110
SAN DIEGO, CA 92108
Rehabilitation Practitioner
10981 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108

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 Mary Clark's NPI number?

The NPI number for Mary Clark is 1659374775. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Mary Clark located?

Mary Clark practices at 10981 San Diego Mission Rd Ste 114, San Diego, CA 92108. The listed phone number is (619) 280-0285.

What is Mary Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Mary Clark enrolled in Medicare?

Yes. Mary 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 Mary Clark accept?

Health plans from Providence Health Plan list Mary 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 Mary Clark was last updated on November 1, 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.