JANELLE CLARK – Clinical Psychologist, NPI 1750409249

JANELLE CLARK is a healthcare provider. based in Mammoth lakes, California. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 52043 (CA). The NPI Number for JANELLE CLARK is 1750409249

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JANELLE CLARK
NPI
1750409249
Phone
(760) 924-4333
Address
85 Sierra Park Rd
Enumeration Date
26 March 2007
Last Update Date
21 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7602066337
Graduation Year
2017 (9 years ago)
PAC ID
4880026525
Professional Enrollment ID
I20191118001826
Address ID
CA935143315BI686XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for JANELLE CLARK

  • 85 Sierra Park Rd

    Mammoth Lakes, CA 935462073

    Phone: (760) 924-4333

    Type: Location

  • 878 EMPIRE AVE

    VENTURA, CA 930034925

    Phone:

    Type: Mailing

  • 650 HOBSON WAY

    OXNARD, CA 930306706

    Phone: (805) 247-0750

    Type: Location

  • PO BOX 823

    BISHOP, CA 935150823

    Phone: (805) 570-3750

    Type: Mailing

  • 686 W LINE ST

    BISHOP, CA 935143315

    Phone: (805) 570-9375

    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: 2019-11-18

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
I20191118001826IClinical PsychologistCATBD

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 93546)

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Reviews

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Frequently asked questions

Does JANELLE CLARK have a public NPI I can cite?
Public records show JANELLE CLARK under NPI 1750409249.
Is JANELLE CLARK's NPI status active today?
Active status means JANELLE CLARK's NPI record is not deactivated in the public file.
How should patients interpret JANELLE CLARK's specialty?
The extract shows Clinical Psychologist for JANELLE CLARK. Clinical services aligned with this taxonomy classification.
Is JANELLE CLARK tied to Mammoth Lakes, California?
If you are local to Mammoth Lakes, California, JANELLE CLARK may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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