DR. ANDREA RACHELE CLARK PSY.D.
NPI 1912034596
Psychologist - Clinical in Norman, OK

Q: What is Andrea Clark's NPI number?

The NPI number for Andrea Clark is 1912034596. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Q: What is Andrea Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Clark was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment

3750 W MAIN ST STE AA, NORMAN, OK 73072(405) 801-2400 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Andrea Rachele Clark Psy.d. NPPES

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

DR. ANDREA RACHELE CLARK PSY.D. (NPI 1912034596) is an individual clinical provider in Norman, Oklahoma, licensed in Oklahoma (970) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1912034596

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANDREA RACHELE CLARKCredential: PSY.D.

Location Address3750 W MAIN ST STE AANorman, OK 73072-4645

Mailing Address3750 W Main St Ste AaNorman, OK 73072-4645 · (405) 801-2400

Phone(405) 801-2400

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateFebruary 28, 2007

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1912034596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OK · 970

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.

3750 W MAIN ST STE AA, Norman, OK 73072

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Other Identifiers 1

Medicaid200036470-AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Andrea Rachele Clark Psy.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 ID6305818071

PECOS Enrollment IDI20040812000184

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 73072 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

$162.61 typical visit price

range $53.00 – $162.61

Typical copayment $40.65 (range $13.25 – $40.65)

Most-billed visit code 99205

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 19

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

SHANE RAY WILSON LPC,LADC

Counselor (Professional)