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

Individual provider Clinical Psychologist · NPI 1326061813

Dr. Kina Annette Johnson Clark, PHD is a Clinical Psychologist in Rocklin, California. Qualified in 1996, 30 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2006
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

3724 Atherton Rd Ste 100
Rocklin, CA 95765-3717
Phone: (916) 726-4030
Fax: (916) 786-3080
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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 PSY16066 (CA)

Record details

NPI number1326061813
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 25, 2006
Last updated in NPPESJune 15, 2024
Certification dateApril 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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