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CLARK STANFORD GROVE PHD
NPI 1679623284
Psychologist - Clinical in San Francisco, CA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
1902 WEBSTER ST, SAN FRANCISCO, CA 94115(415) 923-6760(415) 507-0306 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clark Stanford Grove Phd NPPES

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

CLARK STANFORD GROVE PHD (NPI 1679623284) is an individual clinical provider in San Francisco, California, licensed in California (PSY13469) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1679623284
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameCLARK STANFORD GROVECredential: PHD
Location Address1902 WEBSTER STSan Francisco, CA 94115-5800
Mailing Address1902 Webster StSan Francisco, CA 94115-5800 · (415) 923-6760 · Fax (415) 507-0306
Phone(415) 923-6760
Fax(415) 507-0306
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679623284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY13469
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.
1902 WEBSTER ST, San Francisco, CA 94115
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Other Identifiers 1

Other0PL134690CA · Blue Shield

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

Clark Stanford Grove Phd 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 ID5890101570
PECOS Enrollment IDI20210303002354
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 11

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

DR. DARIUSCH STEVEN NOURIANI PHD
Marriage & Family Therapist
1902 WEBSTER ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 345-8977
MS. ELLEN S. BROWN L.M.F.T
Marriage & Family Therapist
1902 WEBSTER ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 924-6055
HELP FOR WELLNESS
Social Worker (Clinical)
1902 WEBSTER ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 730-3679
JEANETTE A. B. MCCARTHY MFT
Marriage & Family Therapist
1902 WEBSTER ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 835-2126
JUNE MADSEN CLAUSEN PH.D.
Psychologist (Clinical)
1902 WEBSTER ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 422-2174
DR. RANDOLPH D BADLER PH.D.
Psychologist (Clinical)
1902 WEBSTER ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 567-2292
MR. LARRY O'CONNOR MFT
Counselor (Mental Health)
1902 WEBSTER ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 225-3032
DR. SAMUEL JINICH PH.D.
Psychologist (Clinical)
1902 WEBSTER ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 474-6414

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 Clark Grove's NPI number?

The NPI number for Clark Grove is 1679623284. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Clark Grove located?

Clark Grove practices at 1902 Webster St, San Francisco, CA 94115. The listed phone number is (415) 923-6760.

What is Clark Grove's specialty?

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

Is Clark Grove enrolled in Medicare?

Yes. Clark Grove 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.

When was this NPI record last updated?

The NPPES record for Clark Grove was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.