DR. ANDREW B. CLARK (MD) – Psychiatry Physician, NPI 1720056047

DR. ANDREW B. CLARK (MD) is a healthcare provider. based in Cambridge, Massachusetts. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 72153 (MA). The NPI Number for DR. ANDREW B. CLARK (MD) is 1720056047

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW B. CLARK (MD)
NPI
1720056047
Phone
(801) 960-2138
Address
10 CONCORD AVE
Enumeration Date
11 March 2006
Last Update Date
18 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6174145245
Graduation Year
1986 (40 years ago)
PAC ID
5395018907
Group Practice PAC ID
7911805361
Professional Enrollment ID
I20170901001962
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ANDREW B. CLARK (MD)

  • 10 CONCORD AVE

    CAMBRIDGE, MA 021382322

    Phone: (801) 960-2138

    Fax: (617) 830-7281

    Type: Mailing

  • Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    DOB 503

    BOSTON, MA 021182371

    Phone:

    Type: Mailing

  • Boston Medical Center, 1, Massachusetts Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    BOSTON, MA 02118

    Phone: (617) 414-5245

    Fax: (617) 638-6836

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 02138)

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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: 7911805361View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. ANDREW B. CLARK (MD)?
For DR. ANDREW B. CLARK (MD), use NPI 1720056047 as the unique 10-digit identifier.
Is DR. ANDREW B. CLARK (MD) shown as active in public data?
Registry records indicate DR. ANDREW B. CLARK (MD) maintains an active NPI.
How would a patient describe DR. ANDREW B. CLARK (MD)'s focus?
For DR. ANDREW B. CLARK (MD), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is DR. ANDREW B. CLARK (MD) registered?
Use Cambridge, Massachusetts as the headline location for DR. ANDREW B. CLARK (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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