Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clark Pinson, PHD

Organization Exclusive Provider Organization · NPI 1043618499

Clark Pinson, PHD is an Exclusive Provider Organization in Syracuse, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
Specialties on file
4

Practice location Address checks out

114 N Lowell Ave
Syracuse, NY 13204-2014
Phone: (315) 514-0401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X · Licence 020187 (NY)
Exclusive Provider Organization Taxonomy 302F00000X · Licence 020187 (NY)
Preferred Provider Organization Taxonomy 305R00000X · Licence 020187 (NY)
Point of Service Taxonomy 305S00000X · Licence 020187 (NY)

Record details

NPI number1043618499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clark Pinson — Psychologist · (315) 514-0401
NPI enumeratedDecember 17, 2014
Last updated in NPPESDecember 17, 2014
Mailing address114 N Lowell Ave, Syracuse, NY 13204-2014

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