Dr Sharonda Nicole Clark, MD - Medicare Psychiatry & Neurology in Hackensack, NJ

  1. Home
  2. Psychiatry & Neurology
  3. NJ
  4. Hackensack
Dr Sharonda Nicole Clark, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Hackensack, New Jersey. Her current practice location is 30 Prospect Ave, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at (551) 996-4450.

Dr Sharonda Nicole Clark is licensed to practice in New Jersey (license number 25MA10947800) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487807145.

Contact Information

Dr Sharonda Nicole Clark, MD
30 Prospect Ave,
Hackensack, NJ 07601-1915
(551) 996-4450
(551) 996-5729

Map and Direction




Physician's Profile

Full NameDr Sharonda Nicole Clark
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location30 Prospect Ave, Hackensack, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487807145
  • Provider Enumeration Date: 10/28/2008
  • Last Update Date: 12/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4183850621
  • Enrollment ID: I20131112000239

Medical Identifiers

Medical identifiers for Dr Sharonda Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487807145NPI-NPPES
080462703MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry P1979 (Texas)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 25MA10947800 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sharonda Nicole Clark allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942270566
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792
Entity NameFamily And Child Guidance Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811062367
PECOS PAC ID: 1153413711
Enrollment ID: O20070828000060
Entity NameMccd Psychiatry Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033750823
PECOS PAC ID: 4082049036
Enrollment ID: O20211008000289
Entity NameMccd Fl Psychiatry Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659003457
PECOS PAC ID: 4880064070
Enrollment ID: O20230119002574

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sharonda Nicole Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sharonda Nicole Clark, MD
14007 Summer Ash Ln,
Houston, TX 77044-5017

Ph: (214) 738-2265		Dr Sharonda Nicole Clark, MD
30 Prospect Ave,
Hackensack, NJ 07601-1915

Ph: (551) 996-4450

Reviews and Comments


Psychiatry & Neurology Doctors in Hackensack, NJ

David Steinberg, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 940 Main St, Hackensack, NJ 07601
Phone: 201-487-2273    
Dr. Harshasu Barot, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 87 Rte 17 North, Suite 1-118, Hackensack, NJ 07607
Phone: 551-996-4450    Fax: 551-996-5729
Alberto Mario Goldwaser, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 24 Bergen St, Hackensack, NJ 07601
Phone: 201-342-3500    Fax: 201-342-1900
Dr. Samuel Singer, M.D
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 92 2nd St, Hackensack, NJ 07601
Phone: 551-996-5266    Fax: 551-996-0589
Dr. Kaitlin Johanna Reilly-kit, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 360 Essex St., Suite 303, Hackensack, NJ 07601
Phone: 551-996-8100    
Dr. Yoo-jin Michelle Baik, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Thanh Lam Ngoc Tran, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 360 Essex St Ste 303, Hackensack, NJ 07601
Phone: 551-996-8100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.