Michelle Olivette Clark in Oakland - Psychiatry
Michelle Olivette Clark - NPI 1164551545
Michelle Olivette Clark is a Psychiatry in Oakland, California. Michelle Olivette Clark practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Michelle Olivette Clark is 1164551545. The last update date is 2023-02-09.
Michelle Olivette Clark's current location address is 4100 Redwood Rd Ste 20a-522, Oakland, California. You can contact this provider via phone number 5108428960 and fax number 1058428983. The mailing address for Michelle Olivette Clark is 4100 Redwood Rd Ste 20a-522, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Olivette Clark |
|---|---|
| Address | 4100 Redwood Rd Ste 20a-522, Oakland, California |
| Phone Number | 5108428960 |
| Fax Number | 1058428983 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164551545 |
|---|---|
| Provider Enumeration Date | 2007-03-03 |
| Last Updated Date | 2023-02-09 |
Provider Mailing Address Detail
| Address | 4100 Redwood Rd Ste 20a-522 |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946192363 |
| Phone Number | 5108428960 |
| Fax Number | 1058428983 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | A 31665 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A 31665 | CA | STATE MEDICAL LICENSE |
Post Comment/ Review Below
What is the Michelle Olivette Clark's unique identification number?
The Michelle Olivette Clark has been assigned the NPI (National Provider Identifier) Number 1164551545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Michelle Olivette Clark's physical address?
The Michelle Olivette Clark is physically located at 4100 Redwood Rd Ste 20A-522, in the city of Oakland, CA, with the postal code 946192363.
What is the Michelle Olivette Clark's specialty and taxonomy code?
The Michelle Olivette Clark's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
When did the Michelle Olivette Clark receive its 1164551545?
The Michelle Olivette Clark was issued its 1164551545 on 2007-03-03, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Michelle Olivette Clark last refreshed?
The information related to the Michelle Olivette Clark, including its address, specialty, and other relevant details, was last updated on 2023-02-09.
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