DR. KENNETH W CLARK PH.D.
NPI 1942254560
Psychologist - Clinical in Madison, WI

Q: What is Kenneth Clark's NPI number?

The NPI number for Kenneth Clark is 1942254560. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Kenneth 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 Kenneth Clark was last updated on March 20, 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.

Active since May 19, 2006

6510 GRAND TETON PLZ, SUITE 406, MADISON, WI 53719(608) 833-9290(608) 833-9691 Get Directions Write a Review

NPPES record last updated: March 20, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kenneth W Clark Ph.d. NPPES

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

DR. KENNETH W CLARK PH.D. (NPI 1942254560) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (670-057) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1942254560

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KENNETH W CLARKCredential: PH.D.

Location Address6510 GRAND TETON PLZ, SUITE 406Madison, WI 53719-1029

Mailing Address6510 Grand Teton Plz, Suite 406Madison, WI 53719-1029 · (608) 833-9290 · Fax (608) 833-9691

Phone(608) 833-9290

Fax(608) 833-9691

Sole ProprietorNo

Enumeration DateMay 19, 2006

Last NPPES UpdateMarch 20, 2009

✔ NPI 1942254560 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 WI · 670-057

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.

6510 GRAND TETON PLZ, Madison, WI 53719

Open in Google Maps ↗

Other Identifiers 3

Medicaid39012000WI

Other11676WI · Dean

Medicare ID-Type Unspecified001884027WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Quartz.Insurance ›

Other Providers at the Same Location NPPES 10

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

DR. MARK EDWARD EHRLICH PH.D.

Psychologist

6510 GRAND TETON PLZ, STE. 406
MADISON, WI 53719

Dane County (608) 833-9290

MS. JUDITH E BORREE LCSW

Social Worker (Clinical)

6510 GRAND TETON PLZ, SUITE 406
MADISON, WI 53719

Dane County (608) 833-9290

MS. DONNA M MORRISSEY LPC

Counselor (Professional)

6510 GRAND TETON PLZ, SUITE 406
MADISON, WI 53719

Dane County (608) 833-9290

DR. HARRY H SHARATA MD, PH.D.

Specialist

6510 GRAND TETON PLZ, SUITE 302
MADISON, WI 53719

Dane County (608) 826-0285

DR. ADRIAN DRAKE DUSZYNSKI DDS

Dentist

6510 GRAND TETON PLZ, 412
MADISON, WI 53719

Dane County (608) 833-0305

DR. THOMAS L. DANIELS PH.D.

Psychologist

6510 GRAND TETON PLZ, SUITE 406
MADISON, WI 53719

Dane County (608) 833-9290

DR. ELIZABETH H WINSTON PH.D.

Psychologist

6510 GRAND TETON PLZ, SUITE 2
MADISON, WI 53719

Dane County (608) 833-9290

DR. LAWRENCE J KANE PH.D.

Psychologist

6510 GRAND TETON PLZ, SUITE 406
MADISON, WI 53719

Dane County (608) 833-9290

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 Kenneth Clark's NPI number?

The NPI number for Kenneth Clark is 1942254560. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Kenneth Clark located?

Kenneth Clark practices at 6510 Grand Teton Plz Suite 406, Madison, WI 53719. The listed phone number is (608) 833-9290.

What is Kenneth Clark's specialty?

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

What insurance does Kenneth Clark accept?

Health plans from Medica and Quartz list Kenneth 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 Kenneth Clark was last updated on March 20, 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.