| Michael William Clarke, PHD | |
|
845 W East Ave, Chico, CA 95926-2002 | |
| (530) 896-9400 | |
| (530) 879-3352 |
| Full Name | Michael William Clarke |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 32 Years |
| Location | 845 W East Ave, Chico, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023167939 | NPI | - | NPPES |
| PSY 15252 | Other | CA | BOARD OF PSYCHOLOGY |
| MFT 20870 | Other | CA | BOARD OF BSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY15252 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | MFT 20870 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Valley Indian Health Inc | 1557493723 | 35 |
| Entity Name | Northern Valley Indian Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295752384 PECOS PAC ID: 1557493723 Enrollment ID: O20140429000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael William Clarke, PHD 207 N Butte St, Willows, CA 95988-2803 Ph: (530) 330-8800 | Michael William Clarke, PHD 845 W East Ave, Chico, CA 95926-2002 Ph: (530) 896-9400 |
Ariel Madison Ellis, LEP, MA, PPS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3 El Cortez Cir, Chico, CA 95926 Phone: 530-332-8249 |
Dominga Teresa Moyer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1180 E 1st Ave, Chico, CA 95926 Phone: 530-521-8869 |
Shaylee Nolan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1163 E 7th St, Chico, CA 95928 Phone: 530-891-3000 |
Dr. Bradford Raymond Luz, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 Parmac Rd, Suite #4, Chico, CA 95926 Phone: 530-891-2850 |
William J. Taetzsch,, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 188 Cohasset Ln, Chico, CA 95926 Phone: 530-343-6084 |
Dr. Michael Edward Shuell, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3209 Esplanade Ste 150, Chico, CA 95973 Phone: 530-891-6292 Fax: 530-636-4628 |
Dr. Lana Sue Mcknight, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 344 Flume St, Chico, CA 95928 Phone: 530-230-7967 |