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

Dr. Edmund Justin Clark, MD

Individual provider Psychiatry Physician · NPI 1316046816

Dr. Edmund Justin Clark, MD is a Psychiatry Physician in Tallahassee, Florida. Works from 3 locations. Licensed in Florida, New York and Tennessee.

Licensed in
FL, NY, TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 N Monroe St Ste 800 (private Ofc 860)
Tallahassee, FL 32301-1500
Phone: (833) 351-8255
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Additional practice locations (2)

  • 109 W 27th St Rm 5s, New York, NY 10001-6208 — (833) 351-8255
  • 6200 Hospitality Dr., Franklin, TN 37067-5023 — (833) 351-8255

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME105344 (FL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 75023 (TN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 339552 (NY)

Record details

NPI number1316046816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

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