Marianne Clark Psyd LLC
NPI 1063057610 · Mental Health Clinic/Center (Including Community Mental Health Center) · Mount Laurel, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marianne Clark Psyd LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Mount Laurel, NJ (NPI 1063057610).
Provider details
- NPI number
- 1063057610
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marianne Clark, Psychologist(862) 219-1125
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2019-11-07
- Last updated
- 2019-11-07
Frequently asked questions
- What is Marianne Clark Psyd LLC's NPI number?
- Marianne Clark Psyd LLC's National Provider Identifier (NPI) is 1063057610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marianne Clark Psyd LLC?
- Marianne Clark Psyd LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Marianne Clark Psyd LLC located?
- Marianne Clark Psyd LLC's practice location on file with NPPES is 3804 Church Rd, Mount Laurel, NJ 08054-1106.
- What is Marianne Clark Psyd LLC's phone number?
- The practice phone number listed in the NPPES registry for Marianne Clark Psyd LLC is (862) 219-1125.
- Does Marianne Clark Psyd LLC accept Medicare?
- Marianne Clark Psyd LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Marianne Clark Psyd LLC?
- The authorized official listed on Marianne Clark Psyd LLC's NPPES record is Marianne Clark, Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marianne Clark Psyd LLC's NPI active?
- Yes — Marianne Clark Psyd LLC's NPI (1063057610) is active in the NPPES registry as of the last update on 2019-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.