DR. KAREN HUBBARD CLARK (PH.D.) – Clinical Psychologist, NPI 1235396920

DR. KAREN HUBBARD CLARK (PH.D.) is a healthcare provider. based in Trussville, Alabama. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 1499 (AL). The NPI Number for DR. KAREN HUBBARD CLARK (PH.D.) is 1235396920

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAREN HUBBARD CLARK (PH.D.)
NPI
1235396920
Phone
(206) 789-3413
Address
459 MAIN ST STE 101-338
Enumeration Date
20 May 2008
Last Update Date
2 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2057050195
Graduation Year
2007 (19 years ago)
PAC ID
9436671740
Group Practice PAC ID
7416391818
Professional Enrollment ID
I20250317001144
Address ID
AL352353498BI5961XLNXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

159 CLINICAL PSYCHOLOGIST in AL

Provider Addresses for DR. KAREN HUBBARD CLARK (PH.D.)

  • 459 MAIN ST STE 101-338

    TRUSSVILLE, AL 351731416

    Phone: (206) 789-3413

    Type: Mailing

  • 700, 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352331927

    Phone: (205) 933-4901

    Fax: (205) 558-4809

    Type: Mailing

  • 130 Rosewood Ln

    Trussville, AL 351734384

    Phone: (205) 293-3996

    Type: Location

  • 1030 JEFFERSON AVE

    MEMPHIS, TN 381042127

    Phone: (901) 523-8990

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250317001144IClinical PsychologistALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35173)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416391818View full group profile
NameSpecialtyState
Mental Health CounselorAL
Mental Health CounselorAL
Clinical Social WorkerAL
Mental Health CounselorAL
Mental Health CounselorIL
Mental Health CounselorAL
Mental Health CounselorAL

Reviews

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Frequently asked questions

What is DR. KAREN HUBBARD CLARK (PH.D.)'s NPI number?
DR. KAREN HUBBARD CLARK (PH.D.)'s NPI is 1235396920 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. KAREN HUBBARD CLARK (PH.D.)?
You should see DR. KAREN HUBBARD CLARK (PH.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. KAREN HUBBARD CLARK (PH.D.)'s focus?
For DR. KAREN HUBBARD CLARK (PH.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Alabama is DR. KAREN HUBBARD CLARK (PH.D.) registered?
Use Trussville, Alabama as the headline location for DR. KAREN HUBBARD CLARK (PH.D.) here.
Can I trust this NPI listing for DR. KAREN HUBBARD CLARK (PH.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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