Bruce Clark, PH.D.
NPI 1669212395 · Psychologist · St Louis Park, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bruce Clark, PH.D. is a Psychologist provider in St Louis Park, MN (NPI 1669212395).
Provider details
- NPI number
- 1669212395
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LP7036 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 3366 Oakdale Ave N Ste 315Robbinsdale, MN 55422-2967Phone: (763) 581-5372
Registry dates
- Enumerated
- 2024-05-30
- Last updated
- 2024-08-09
- Certified
- 2024-08-09
Frequently asked questions
- What is Bruce Clark's NPI number?
- Bruce Clark's National Provider Identifier (NPI) is 1669212395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bruce Clark's specialty?
- Bruce Clark is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Bruce Clark located?
- Bruce Clark's practice location on file with NPPES is 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527.
- What is Bruce Clark's phone number?
- The practice phone number listed in the NPPES registry for Bruce Clark is (952) 993-3123.
- Does Bruce Clark accept Medicare?
- Bruce Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bruce Clark's NPI active?
- Yes — Bruce Clark's NPI (1669212395) is active in the NPPES registry as of the last update on 2024-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.