Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Marie Clark, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1376161950

Susan Marie Clark, PMHNP-BC is a Nurse Practitioner in Orange City, Florida. Qualified in 2020, 6 years ago. Practices with Mindful Behavioral Healthcare LLC, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

300 Treemonte Dr
Orange City, FL 32763-7977
Phone: (800) 614-4124
Fax: (888) 217-4124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 674 Coral Way, Winter Springs, FL 32708-3127 — (334) 220-2985

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11007813 (FL)

Record details

NPI number1376161950
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 9, 2020
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mindful Behavioral Healthcare Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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