IndividualActive
Kenneth Clark, PH.D.
NPI 1942254560 · Clinical Psychologist · Madison, WI
Kenneth Clark, PH.D. is a Clinical Psychologist provider in Madison, WI (NPI 1942254560).
Provider details
- NPI number
- 1942254560
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 670-057 (WI)
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
6510 Grand Teton Plz
Suite 406
Madison, WI 53719-1029
Phone: (608) 833-9290
Fax: (608) 833-9691
Street-level locationGet directions
Mailing address
6510 Grand Teton Plz
Madison, WI 53719-1029
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2009-03-20
Frequently asked questions
- What is Kenneth Clark's NPI number?
- Kenneth Clark's National Provider Identifier (NPI) is 1942254560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Clark's specialty?
- Kenneth Clark is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Clark located?
- Kenneth Clark's practice location on file with NPPES is 6510 Grand Teton Plz, Madison, WI 53719-1029.
- What is Kenneth Clark's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Clark is (608) 833-9290.
- Is Kenneth Clark's NPI active?
- Yes — Kenneth Clark's NPI (1942254560) is active in the NPPES registry as of the last update on 2009-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.