What is Derrick Clark's NPI number?

Derrick Clark's National Provider Identifier (NPI) is 1568566917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Derrick Clark's specialty?

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

Where is Derrick Clark located?

Derrick Clark's practice location on file with NPPES is 1663 Dominican Way, Santa Cruz, CA 95065-1527.

What is Derrick Clark's phone number?

The practice phone number listed in the NPPES registry for Derrick Clark is (831) 475-3231.

Is Derrick Clark's NPI active?

Yes — Derrick Clark's NPI (1568566917) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Derrick Clark, PHD

NPI 1568566917 · Psychologist · Santa Cruz, CA

Derrick Clark, PHD is a Psychologist provider in Santa Cruz, CA (NPI 1568566917).

Provider details

NPI number: 1568566917
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PHD
Sex: Male
Sole proprietor: No
License: PSY13424 (CA)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense PSY13424 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(90/100 index)

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

Registry tenure38% of score
19 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

1663 Dominican Way

Ste 214

Santa Cruz, CA 95065-1527

Phone: (831) 475-3231

Fax: (831) 462-4936

Street-level locationGet directions

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Mailing address