DR. JOHNETTE ELISSE CLARK PH.D.
NPI 1801963137
Psychologist - Clinical Child & Adolescent in Atchison, KS

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
1301 N 2ND ST, ATCHISON, KS 66002(913) 367-1593(913) 367-1627 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Johnette Elisse Clark Ph.d. NPPES

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

DR. JOHNETTE ELISSE CLARK PH.D. (NPI 1801963137) is an individual clinical child & adolescent provider in Atchison, Kansas, licensed in Kansas (LP 1021) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1801963137
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. JOHNETTE ELISSE CLARKCredential: PH.D.
Location Address1301 N 2ND STAtchison, KS 66002-1202
Mailing Address130 Su Terra DrAtchison, KS 66002-1023 · (913) 367-2824
Fax(913) 367-1627
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1801963137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in KS · LP 1021
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1301 N 2ND ST, Atchison, KS 66002

Other Identifiers 1

Medicare ID-Type Unspecified119888KS

Accepted Insurance

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

Dr. Johnette Elisse Clark Ph.d. 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 ID4688682313
PECOS Enrollment IDI20060322000515
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.

Other Providers at the Same Location NPPES 7

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

Social Worker
1301 N 2ND ST
ATCHISON, KS 66002
Social Worker (Clinical)
1301 N 2ND ST
ATCHISON, KS 66002
Psychologist (Clinical)
1301 N 2ND ST
ATCHISON, KS 66002
Psychologist (Clinical)
1301 N 2ND ST
ATCHISON, KS 66002
Counselor (Professional)
1301 N 2ND ST
ATCHISON, KS 66002
Social Worker
1301 N 2ND ST
ATCHISON, KS 66002
General Acute Care Hospital (Rural)
1301 N 2ND ST
ATCHISON, KS 66002

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 Johnette Clark's NPI number?

The NPI number for Johnette Clark is 1801963137. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Johnette Clark located?

Johnette Clark practices at 1301 N 2nd St, Atchison, KS 66002. The listed phone number is (913) 367-1593.

What is Johnette Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Johnette Clark enrolled in Medicare?

Yes. Johnette 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.

What insurance does Johnette Clark accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Johnette Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

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