DR. ALEXANDRA LEIGH CLARK (PHD) – Clinical Neuropsychologist, NPI 1831755537

DR. ALEXANDRA LEIGH CLARK (PHD) is a healthcare provider. based in San diego, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 39726 (TX). The NPI Number for DR. ALEXANDRA LEIGH CLARK (PHD) is 1831755537

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDRA LEIGH CLARK (PHD)
NPI
1831755537
Phone
(858) 552-8585
Address
3350 LA JOLLA VILLAGE DR
Enumeration Date
17 May 2019
Last Update Date
27 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
5126375841
Graduation Year
2019 (7 years ago)
PAC ID
5799148433
Group Practice PAC ID
7618074766
Professional Enrollment ID
I20230829002849
Address ID
TX787051133AU711XXSTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for DR. ALEXANDRA LEIGH CLARK (PHD)

  • Veterans Affairs San Diego Healthcare System, 3350, La Jolla Village Drive, University City, San Diego, San Diego County, California, 92161, United States

    SAN DIEGO, CA 921610002

    Phone: (858) 552-8585

    Type: Mailing

  • 711 W 38TH ST STE F2

    AUSTIN, TX 787051133

    Phone: (512) 637-5841

    Fax: (512) 637-5997

    Type: Mailing

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: 2023-08-29

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
I20230829002849IClinical PsychologistTXTBD

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 92161)

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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: 7618074766View full group profile
NameSpecialtyState
Clinical PsychologistTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

What federal number belongs to DR. ALEXANDRA LEIGH CLARK (PHD)?
The federal identifier for DR. ALEXANDRA LEIGH CLARK (PHD) is NPI 1831755537.
Is DR. ALEXANDRA LEIGH CLARK (PHD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. ALEXANDRA LEIGH CLARK (PHD) treat or focus on?
Patients typically see DR. ALEXANDRA LEIGH CLARK (PHD) under the specialty Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ALEXANDRA LEIGH CLARK (PHD)?
The page summarizes San Diego, California for DR. ALEXANDRA LEIGH CLARK (PHD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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