IndividualActive
Jeffrey Clark, M.A.
NPI 1003979600 · Clinical Psychologist · Rochester, MN
Jeffrey Clark, M.A. is a Clinical Psychologist provider in Rochester, MN (NPI 1003979600).
Provider details
- NPI number
- 1003979600
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LP3310 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1932 Viking Dr Nw
Rochester, MN 55901-2460
Phone: (180) 042-2016
Street-level locationGet directions
Mailing address
1926 26th Ave Nw
Rochester, MN 55901-8064
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jeffrey Clark's NPI number?
- Jeffrey Clark's National Provider Identifier (NPI) is 1003979600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Clark's specialty?
- Jeffrey Clark is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jeffrey Clark located?
- Jeffrey Clark's practice location on file with NPPES is 1932 Viking Dr Nw, Rochester, MN 55901-2460.
- What is Jeffrey Clark's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Clark is (180) 042-2016.
- Is Jeffrey Clark's NPI active?
- Yes — Jeffrey Clark's NPI (1003979600) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.