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

Kalin Burkhardt Clark, PSYD

Individual provider Psychologist · NPI 1629446927

Kalin Burkhardt Clark, PSYD is a Clinical Psychologist in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Rhode Island.

Years since qualifying
11
Licensed in
OR, RI
In the registry since
2015
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3303 S Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-4373
Fax: (503) 418-4189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5211 Ne Glisan St Bldg C, Portland, OR 97213-3052 — (503) 215-7230
  • 146 W River St, Providence, RI 02904-2609 — (401) 793-8770

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3096 (OR)
Psychologist Taxonomy 103T00000X · Licence 3096 (OR)
Health Psychologist Taxonomy 103TH0004X · Licence PS01577 (RI)

Record details

NPI number1629446927
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 3, 2015
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022
Mailing address3303 S Bond Ave, Portland, OR 97239-4501

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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