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DR. ROGER GALEN CLARK PSY.D.
NPI 1669501136
Psychologist - Prescribing (Medical) in Fort Campbell, KY

Active since March 02, 2007
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR, FORT CAMPBELL, KY 42223(270) 956-0129 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2023, Feb 8, 2019 (2 updates tracked since 2019).

About Dr. Roger Galen Clark Psy.d. NPPES

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

DR. ROGER GALEN CLARK PSY.D. (NPI 1669501136) is an individual prescribing (medical) provider in Fort Campbell, Kentucky, licensed in Louisiana (322138) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1669501136
Entity TypeIndividualMale
Primary Taxonomy103TP0016X
Provider Legal NameDR. ROGER GALEN CLARKCredential: PSY.D.
Location AddressBLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRFort Campbell, KY 42223-5349
Mailing AddressBlanchfield Army Community Hospital, 650 Joel DriveFort Campbell, KY 42223-5349
Phone(270) 956-0129
Sole ProprietorYes
Enumeration DateMarch 2, 2007
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
✔ NPI 1669501136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in LA · 322138
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Also ListedPsychologistTaxonomy 103T00000X · License 1187 (KY), 2800 (TN)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, Fort Campbell, KY 42223
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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.

PATRICIA GAZZA II
Social Worker (Clinical)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-8727
DR. ERIC WILHELM BERG III M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FT CAMPBELL, KY 42223
Christian County (270) 798-8372
DR. ROBERT BURROUGHS COUTANT M.D.
Allergy & Immunology
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 461-1562
GREGORY HERSHEY
Physician Assistant
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-8727
MS. OPAL M GALLOWAY LCSW
Social Worker (Clinical)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8372
MARK LEON SIEBE PA-C
Family Medicine
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8727
REVA L. ROGERS
Dietitian, Registered
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-8372
MR. MICHAEL W LIPE LCSW
Social Worker (Clinical)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-8601

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 Roger Clark's NPI number?

The NPI number for Roger Clark is 1669501136. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Roger Clark located?

Roger Clark practices at Blanchfield Army Community Hospital 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 956-0129.

What is Roger Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Roger Clark was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.