IndividualActive
Jon Clark, PHD
NPI 1336118454 · Psychologist · Rochester, MI
Jon Clark, PHD is a Psychologist provider in Rochester, MI (NPI 1336118454).
Provider details
- NPI number
- 1336118454
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6301005160 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
71 Walnut Blvd
Suite 109
Rochester, MI 48307-2073
Phone: (248) 650-8990
Fax: (248) 650-8990
Street-level locationGet directions
Mailing address
71 Walnut Blvd
Rochester, MI 48307-2073
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2016-12-07
Frequently asked questions
- What is Jon Clark's NPI number?
- Jon Clark's National Provider Identifier (NPI) is 1336118454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jon Clark's specialty?
- Jon Clark is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jon Clark located?
- Jon Clark's practice location on file with NPPES is 71 Walnut Blvd, Rochester, MI 48307-2073.
- What is Jon Clark's phone number?
- The practice phone number listed in the NPPES registry for Jon Clark is (248) 650-8990.
- Is Jon Clark's NPI active?
- Yes — Jon Clark's NPI (1336118454) is active in the NPPES registry as of the last update on 2016-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.