Christina Clark, - Medicare Psychologist in Worthington, OH

Christina Clark, is a medicare enrolled "Psychologist - Clinical" provider in Worthington, Ohio. Her current practice location is 666 High St, Suite 200-d, Worthington, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 430-8920.

Christina Clark is licensed to practice in Ohio (license number 5317) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003817081.

Contact Information

Christina Clark,
666 High St, Suite 200-d,
Worthington, OH 43085-4135
(614) 430-8920
(614) 430-8920



Healthcare Provider's Profile

Full NameChristina Clark
GenderFemale
SpecialityPsychologist - Clinical
Location666 High St, Worthington, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003817081
  • Provider Enumeration Date: 08/02/2005
  • Last Update Date: 09/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5597785121
  • Enrollment ID: I20051129000096

Medical Identifiers

Medical identifiers for Christina Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003817081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 5317 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christina Clark,
666 High St, Suite 200-d,
Worthington, OH 43085-4135

Ph: (614) 430-8920
Christina Clark,
666 High St, Suite 200-d,
Worthington, OH 43085-4135

Ph: (614) 430-8920

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› Verified 9 days ago


Psychologist in Worthington, OH

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