IndividualActive
Cameron Clark
NPI 1053600767 · Addiction (Substance Use Disorder) Counselor · Berkeley, CA
Provider details
- NPI number
- 1053600767
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- I8222069 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1931 Center St
Berkeley, CA 94704-1105
Phone: (510) 666-9552
Street-level locationGet directions
Mailing address
1087 Stanford Ave Apt C
Oakland, CA 94608-2358
Registry dates
- Enumerated
- 2011-04-04
- Last updated
- 2011-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.