MS. PAULA C. CLARK M.A.
NPI 1790906824
Marriage & Family Therapist in Tustin, CA

Active since May 02, 2007Opted out of Medicare · through May 31, 2027
250 W MAIN ST, SUITE 201, TUSTIN, CA 92780(714) 730-7885(714) 289-0524 Get Directions Write a Review

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Paula C. Clark M.a. NPPES

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

MS. PAULA C. CLARK M.A. (NPI 1790906824) is an individual marriage & family therapist in Tustin, California, licensed in California (M 14545) and active in the NPI registry since May 2007. She has opted out of Medicare through May 31, 2027.

NPPES Registry Identity

NPI1790906824
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. PAULA C. CLARKCredential: M.A.
Location Address250 W MAIN ST, SUITE 201Tustin, CA 92780-7724
Mailing Address250 W Main St, Suite 201Tustin, CA 92780-7724 · (714) 730-7885 · Fax (714) 289-0502
Fax(714) 289-0524
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateJune 2, 2009
NPI 1790906824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · M 14545
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
250 W MAIN ST, Tustin, CA 92780

Other Names 1

Professional Name (2)Ms. Paula C. Clark M.f.t.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Paula C. Clark M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 31, 2025 through May 31, 2027.

Opt-Out Effective DateMay 31, 2025
Opt-Out In Effect ThroughMay 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Psychoanalyst
250 W MAIN ST, SUITE 203
TUSTIN, CA 92780
Marriage & Family Therapist
250 W MAIN ST, SUITE 201
TUSTIN, CA 92780

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 Paula Clark's NPI number?

The NPI number for Paula Clark is 1790906824. It was assigned to this individual provider in the NPPES registry on May 2, 2007. The provider is also known as Ms. Paula C. Clark M.F.T..

Where is Paula Clark located?

Paula Clark practices at 250 W Main St Suite 201, Tustin, CA 92780. The listed phone number is (714) 730-7885.

What is Paula Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Paula Clark enrolled in Medicare?

No. Paula Clark has opted out of Medicare through May 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Paula Clark was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.