What is Vidal Clark's NPI number?

Vidal Clark's National Provider Identifier (NPI) is 1154727048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Vidal Clark's specialty?

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

Where is Vidal Clark located?

Vidal Clark's practice location on file with NPPES is 555 Amory St, Jamaica Plain, MA 02130-2652.

What is Vidal Clark's phone number?

The practice phone number listed in the NPPES registry for Vidal Clark is (617) 522-0900.

Is Vidal Clark's NPI active?

Yes — Vidal Clark's NPI (1154727048) is active in the NPPES registry as of the last update on 2014-11-05.

IndividualActive

Vidal Clark

NPI 1154727048 · Counselor · Jamaica Plain, MA

Vidal Clark is a Counselor provider in Jamaica Plain, MA (NPI 1154727048).

Provider details

NPI number: 1154727048
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
83% 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

555 Amory St

Suite 3

Jamaica Plain, MA 02130-2652

Phone: (617) 522-0900

Street-level locationGet directions

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Mailing address