Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew David Ayers Clark, PSYD, FLP

Individual provider Clinical Psychologist · NPI 1811001126

Matthew David Ayers Clark, PSYD, FLP is a Clinical Psychologist in Caledonia, Michigan. Qualified in 2003, 23 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2006
Specialties on file
2
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

7150 Kalamazoo Ave SE Ste C
Caledonia, MI 49316-9126
Phone: (616) 690-5437
Fax: (616) 825-6225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Broadway Ave Nw, Grand Rapids, MI 49504-7305 — (616) 690-5437

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301013305 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301013305 (MI)

Record details

NPI number1811001126
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , FLP
Sole proprietorYes
NPI enumeratedAugust 17, 2006
Last updated in NPPESJanuary 16, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Caledonia