NIKKI CLARK
NPI 1750633046
Counselor - Mental Health in San Diego, CA
About Nikki Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKKI CLARK (NPI 1750633046) is an individual mental health provider in San Diego, California and active in the NPI registry since October 2012.
NPPES Registry Identity
Specialties & Licenses
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.
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 Nikki Clark's NPI number?
The NPI number for Nikki Clark is 1750633046. It was assigned to this individual provider in the NPPES registry on October 10, 2012.
Where is Nikki Clark located?
Nikki Clark practices at 2535 Kettner Blvd 1a4, San Diego, CA 92101. The listed phone number is (619) 615-0701.
What is Nikki Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Nikki Clark was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Nikki Clark · NPI 1750633046
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since October 10, 2012.
## Identity
- **NPI:** 1750633046 (Entity type: Individual)
- **Enumerated:** October 10, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 2535 KETTNER BLVD, 1A4, San Diego, CA 92101-1250
- **Phone:** (619) 615-0701
## Record status
- **NPPES last updated:** October 10, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1750633046) · Data from the CMS NPPES public registry.