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JANELLE CLARK
NPI 1750409249
Psychologist - Clinical in Bishop, CA

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment
686 W LINE ST, BISHOP, CA 93514(805) 570-9375 Get Directions Write a Review

NPPES record last updated: April 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Janelle Clark NPPES

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

JANELLE CLARK (NPI 1750409249) is an individual clinical provider in Bishop, California, licensed in California (30993) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mammoth Lakes, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750409249
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJANELLE CLARK
Location Address686 W LINE STBishop, CA 93514-3315
Mailing AddressPo Box 823Bishop, CA 93515-0823 · (805) 570-3750
Phone(805) 570-9375
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 26, 2007
Last NPPES UpdateApril 21, 2024
NPPES CertifiedApril 21, 2024
✔ NPI 1750409249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 30993
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 ListedMarriage & Family TherapistTaxonomy 106H00000X · License 52043 (CA)
686 W LINE ST, Bishop, CA 93514
Open in Google Maps ↗

Secondary Practice Location 1

Location 185 Sierra Park RdMammoth Lakes, CA 93546-2073 · Phone (760) 924-4333

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

Janelle Clark 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 ID4880026525
PECOS Enrollment IDI20191118001826
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 93514 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 9

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

FAMILY HEALTH CENTRE MEDICAL GROUP
Internal Medicine
686 W LINE ST
BISHOP, CA 93514
Mono County (760) 872-4311
OWENS VALLEY WELLNESS
Psychologist (Clinical)
686 W LINE ST
BISHOP, CA 93514
Mono County (760) 920-6210
MS. KIM P. FREY LCSW
Social Worker (Clinical)
686 W LINE ST
BISHOP, CA 93514
Mono County (760) 920-2868
BISHOP DRUG SCREEN
Technician, Pathology (Phlebotomy)
686 W LINE ST
BISHOP, CA 93514
Mono County (760) 582-6789
DONNA SUE MCAULEY FNP CMW
Nurse Practitioner
686 W LINE ST
BISHOP, CA 93514
Mono County (760) 872-4311
FAMILY HEALTH CENTRE MEDICAL GROUP INC
Community Health Worker
686 W LINE ST
BISHOP, CA 93514
Mono County (760) 872-4311
MR. LEO M PISCULLI MD
Psychiatry & Neurology (Psychiatry)
686 W LINE ST
BISHOP, CA 93514
Mono County (760) 872-4311
SIERRA NEVADA MOBILE PHLEBOTOMY
Technician, Pathology (Phlebotomy)
686 W LINE ST
BISHOP, CA 93514
Mono County (760) 582-6789

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 Janelle Clark's NPI number?

The NPI number for Janelle Clark is 1750409249. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Janelle Clark located?

Janelle Clark practices at 686 W Line St, Bishop, CA 93514. The listed phone number is (805) 570-9375.

What is Janelle Clark's specialty?

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

Is Janelle Clark enrolled in Medicare?

Yes. Janelle 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.

When was this NPI record last updated?

The NPPES record for Janelle Clark was last updated on April 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.