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

Michael Robert Clark, MD

Individual provider Psychiatry Physician · NPI 1124070024

Michael Robert Clark, MD is a Psychiatry Physician in Falls Church, Virginia. Licensed in Maryland and Virginia. Registered with an NPI since 2006.

Licensed in
MD, VA
In the registry since
2006
Specialties on file
2
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

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone: (703) 776-4001
Fax: (703) 776-7113
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Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 0101263339 (VA)
Psychiatry Physician Taxonomy 2084P0800X · Licence D35708 (MD)

Record details

NPI number1124070024
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020
Mailing address3300 Gallows Rd, Falls Church, VA 22042-3300

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