What is Stacy Clark's NPI number?

Stacy Clark's National Provider Identifier (NPI) is 1053625764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Stacy Clark's specialty?

Stacy Clark is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Stacy Clark located?

Stacy Clark's practice location on file with NPPES is 25 E Washington St, Chicago, IL 60602-1708.

What is Stacy Clark's phone number?

The practice phone number listed in the NPPES registry for Stacy Clark is (773) 263-0003.

Is Stacy Clark's NPI active?

Yes — Stacy Clark's NPI (1053625764) is active in the NPPES registry as of the last update on 2014-10-28.

IndividualActive

Stacy Clark, PH.D.

NPI 1053625764 · Clinical Psychologist · Chicago, IL

Stacy Clark, PH.D. is a Clinical Psychologist provider in Chicago, IL (NPI 1053625764).

Provider details

NPI number: 1053625764
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Female
Sole proprietor: Yes
License: 071.007953 (IL)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense 071.007953 (IL)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(83/100 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

25 E Washington St

1719

Chicago, IL 60602-1708

Phone: (773) 263-0003

Street-level locationGet directions

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Mailing address