Casondra Clark
NPI 1558210658 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Surprise, AZ
Casondra Clark is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility provider in Surprise, AZ (NPI 1558210658).
Provider details
- NPI number
- 1558210658
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2026-01-22
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Frequently asked questions
- What is Casondra Clark's NPI number?
- Casondra Clark's National Provider Identifier (NPI) is 1558210658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Casondra Clark's specialty?
- Casondra Clark is listed in the NPPES registry with a primary specialty of Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Casondra Clark located?
- Casondra Clark's practice location on file with NPPES is 17874 W Bloomfield Rd, Surprise, AZ 85388-5619.
- What is Casondra Clark's phone number?
- The practice phone number listed in the NPPES registry for Casondra Clark is (480) 465-2920.
- Is Casondra Clark's NPI active?
- Yes — Casondra Clark's NPI (1558210658) is active in the NPPES registry as of the last update on 2026-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.