DR. JAMES ROBERT CLARK (PSY.D.) – Clinical Psychologist, NPI 1285758094

DR. JAMES ROBERT CLARK (PSY.D.) is a healthcare provider. based in Marion, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 4571 (OH). The NPI Number for DR. JAMES ROBERT CLARK (PSY.D.) is 1285758094

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES ROBERT CLARK (PSY.D.)
NPI
1285758094
Phone
(740) 382-5133
Address
125 EXECUTIVE DR
Enumeration Date
19 March 2007
Last Update Date
6 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403825133
Graduation Year
1988 (38 years ago)
PAC ID
5294782181
Professional Enrollment ID
I20050404000045
Address ID
OH433026361MA125XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. JAMES ROBERT CLARK (PSY.D.)

  • 125 EXECUTIVE DR

    SUITE 106

    MARION, OH 43302

    Phone: (740) 382-5133

    Fax: (740) 383-2289

    Mailing address matches the actual address.

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: 2005-04-04

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
I20050404000045IClinical PsychologistOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes22132$0
96133Evaluation of neuropsychological test, each additional hour6531$0
96132Evaluation of neuropsychological test, first hour3231$0
96136Administration of psychological or neuropsychological test, first 30 minutes3232$0
96116Exam of neurobehavioral status, first hour3131$0
View full utilization report →

Insurance plans in this area (ZIP 43302)

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Provider's Procedures

DR. JAMES ROBERT CLARK (PSY.D.) performs procedures in CLINICAL PSYCHOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALOH96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour39954

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Frequently asked questions

Where can patients find DR. JAMES ROBERT CLARK (PSY.D.)'s NPI?
You can confirm DR. JAMES ROBERT CLARK (PSY.D.) with NPI 1285758094; it appears in the national provider directory.
Is DR. JAMES ROBERT CLARK (PSY.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. JAMES ROBERT CLARK (PSY.D.) treat or focus on?
Patients typically see DR. JAMES ROBERT CLARK (PSY.D.) under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. JAMES ROBERT CLARK (PSY.D.)'s primary listing?
We display Marion, Ohio because that is what the record indicates for DR. JAMES ROBERT CLARK (PSY.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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