SUSAN L CLARK (MD) – Psychiatry Physician, NPI 1598892085

SUSAN L CLARK (MD) is a healthcare provider. based in Mukilteo, Washington. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 025209MD00022790 (WA). The NPI Number for SUSAN L CLARK (MD) is 1598892085

Main info

Female
Sole Proprietor
43 Years Of Experience
Name
SUSAN L CLARK (MD)
NPI
1598892085
Phone
(425) 355-2800
Address
9515 60TH AVE W
Enumeration Date
28 February 2007
Last Update Date
20 December 2011

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4257424600
Graduation Year
1983 (43 years ago)
PAC ID
2860589355
Group Practice PAC ID
9638070501
Professional Enrollment ID
I20071031000129
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

Provider Addresses for SUSAN L CLARK (MD)

  • 9515 60TH AVE W

    MUKILTEO, WA 98275

    Phone: (425) 355-2800

    Fax: (425) 355-2882

    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: 2007-10-31

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
I20071031000129IPsychiatryWATBD

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 98275)

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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: 9638070501View full group profile
NameSpecialtyState
Nurse PractitionerWA
-CA
Nurse PractitionerWA
Psychiatry, Geriatric PsychiatryWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
P S Y C H I A T R YWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Does SUSAN L CLARK (MD) have a public NPI I can cite?
Public records show SUSAN L CLARK (MD) under NPI 1598892085.
Is SUSAN L CLARK (MD)'s NPI status active today?
Active status means SUSAN L CLARK (MD)'s NPI record is not deactivated in the public file.
What services align with SUSAN L CLARK (MD)'s listing?
SUSAN L CLARK (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SUSAN L CLARK (MD)?
SUSAN L CLARK (MD) is associated with Mukilteo, Washington in the same public data insurers reference.
Why is information missing for SUSAN L CLARK (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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