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

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1023693736

Dr. Jenifer Clark, PHD is an Intellectual & Developmental Disabilities Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

845 W End Ave Apt 2A
New York, NY 10025-8436
Phone: (917) 584-3007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 024217 (NY)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence 024217 (NY)

Record details

NPI number1023693736
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 15, 2021
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

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