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STACY N CLARK PSYD
NPI 1821669409
Student in an Organized Health Care Education/Training Program in Winfield, IL

Active since July 06, 2021
28W671 GARYS MILL RD, WINFIELD, IL 60190(630) 293-9860(630) 293-9861 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2022, Jul 6, 2021 (2 updates tracked since 2021).

About Stacy N Clark Psyd NPPES

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

STACY N CLARK PSYD (NPI 1821669409) is an individual student in an organized health care education/training program in Winfield, Illinois and active in the NPI registry since July 2021. She maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1821669409
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACY N CLARKCredential: PSYD
Location Address28W671 GARYS MILL RDWinfield, IL 60190-1564
Mailing Address28w671 Garys Mill RdWinfield, IL 60190-1564 · (630) 293-9860 · Fax (630) 293-9861
Phone(630) 293-9860
Fax(630) 293-9861
Sole ProprietorNo
Enumeration DateJuly 6, 2021
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1821669409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychologistTaxonomy 103T00000X
28W671 GARYS MILL RD, Winfield, IL 60190
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Secondary Practice Location 1

Location 13933 75th St Ste 102Aurora, IL 60504-8015 · Phone (630) 293-9860 · Fax (630) 293-9861

Other Providers at the Same Location NPPES 18

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

JENNIFER KRISTYN SMIGIEL PSYD
Psychologist (Clinical)
28W671 GARYS MILL RD
WINFIELD, IL 60190
Dupage County (630) 293-9860
GINA M GRIGAS LCPC
Counselor (Professional)
28W671 GARYS MILL RD
WINFIELD, IL 60190
Dupage County (630) 293-9860
MIRIAM A MENDOZA
Student in an Organized Health Care Education/Training Program
28W671 GARYS MILL RD
WINFIELD, IL 60190
Dupage County (630) 293-9860
DR. JOSEPH MICHAEL ROSZKOWSKI PSY.D.
Psychologist (Clinical)
28W671 GARYS MILL RD
WINFIELD, IL 60190
Dupage County (630) 293-9860
DR. JAMIE LYNN COOPER PSYD
Psychologist (Clinical)
28W671 GARYS MILL RD
WINFIELD, IL 60190
Dupage County (630) 293-9860
STEVEN CROMER
Counselor (Professional)
28W671 GARYS MILL RD
WINFIELD, IL 60190
Dupage County (630) 293-9860
JEANNE KESTEL PSYD
Psychologist (Clinical)
28W671 GARYS MILL RD
WINFIELD, IL 60190
Dupage County (630) 293-9860
MS. CHRISTINE KANEHANN MALM M.S., L.C.P.C.
Counselor (Professional)
28W671 GARYS MILL RD
WINFIELD, IL 60190
Dupage County (630) 293-9860

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 Stacy Clark's NPI number?

The NPI number for Stacy Clark is 1821669409. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Stacy Clark located?

Stacy Clark practices at 28w671 Garys Mill Rd, Winfield, IL 60190. The listed phone number is (630) 293-9860.

What is Stacy Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Stacy Clark was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.