Matthew David Ayers Clark, PSYD, FLP | |
7150 Kalamazoo Ave Se, Ste C, Caledonia, MI 49316-9126 | |
(616) 690-5437 | |
(616) 825-6225 |
Full Name | Matthew David Ayers Clark |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 21 Years |
Location | 7150 Kalamazoo Ave Se, Caledonia, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811001126 | NPI | - | NPPES |
D16189090 | Other | MI | MEDICARE |
0897749 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301013305 (Michigan) | Secondary |
103T00000X | Psychologist | 6301013305 (Michigan) | Primary |
Entity Name | Clark Institute Psychology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508339524 PECOS PAC ID: 9436495298 Enrollment ID: O20190115003185 |
Mailing Address | Practice Location Address |
---|---|
Matthew David Ayers Clark, PSYD, FLP 7150 Kalamazoo Ave Se, Ste C, Caledonia, MI 49316-9126 Ph: (616) 690-5437 | Matthew David Ayers Clark, PSYD, FLP 7150 Kalamazoo Ave Se, Ste C, Caledonia, MI 49316-9126 Ph: (616) 690-5437 |
Graceann Mary Robertson, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7150 Kalamazoo Ave Se Ste C, Caledonia, MI 49316 Phone: 616-219-0159 Fax: 616-219-0124 | |
Mrs. Susan Lee Alderink-hulst, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3178 68th St Se, Suite C, Caledonia, MI 49316 Phone: 616-803-0643 | |
Melissa Muir, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7150 Kalamazoo Ave Se Ste C, Caledonia, MI 49316 Phone: 616-446-8436 Fax: 616-920-6536 | |
Ms. Victoria Pelton, MA, LLP, CAADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7199 Kalamazoo Ave Se Ste 232, Caledonia, MI 49316 Phone: 616-803-9422 Fax: 616-277-7141 | |
Alexis Karamol, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7150 Kalamazoo Ave Se Ste C, Caledonia, MI 49316 Phone: 616-219-0159 Fax: 616-219-0124 | |
Jane E Oudbier, MA,LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6265 Cherry View Est Se, Caledonia, MI 49316 Phone: 616-891-1103 | |
Nicole Michelle Beurkens, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3120 68th St Se, Caledonia, MI 49316 Phone: 616-698-0306 |