SHELIA ANN CLARK PH.D.
NPI 1982716254
Psychologist - Clinical in Pine Mountain Club, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
2805 RAINIER WAY, PINE MOUNTAIN CLUB, CA 93222(661) 644-3943(661) 242-1583 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2022, Feb 19, 2018, Apr 22, 2017 (3 updates tracked since 2017).

About Shelia Ann Clark Ph.d. NPPES

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

SHELIA ANN CLARK PH.D. (NPI 1982716254) is an individual clinical provider in Pine Mountain Club, California, licensed in California (PSY13425) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1982716254
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSHELIA ANN CLARKCredential: PH.D.
Location Address2805 RAINIER WAYPine Mountain Club, CA 93222-6045
Mailing AddressPo Box 1929Frazier Park, CA 93225-1929 · (661) 644-3943 · Fax (661) 242-1583
Fax(661) 242-1583
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 2, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2022
NPI 1982716254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY13425
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.
Also ListedPsychologistTaxonomy 103T00000X · License PSY13425 (CA)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFC23878 (CA)
2805 RAINIER WAY, Pine Mountain Club, CA 93222

Other Identifiers 1

MedicaidPSY134253CA

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

Shelia Ann 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 ID2769446665
PECOS Enrollment IDI20110121000743
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 93222 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
$178.09 typical visit price
range $59.26 – $178.09
Typical copayment $44.52 (range $14.81 – $44.52)
Most-billed visit code 99205
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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.

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 Shelia Clark's NPI number?

The NPI number for Shelia Clark is 1982716254. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Shelia Clark located?

Shelia Clark practices at 2805 Rainier Way, Pine Mountain Club, CA 93222. The listed phone number is (661) 644-3943.

What is Shelia Clark's specialty?

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

Is Shelia Clark enrolled in Medicare?

Yes. Shelia 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 Shelia Clark accept?

Health plans from Providence Health Plan list Shelia 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 Shelia Clark was last updated on March 2, 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.