DR. SHARONDA NICOLE CLARK (MD) – Child & Adolescent Psychiatry Physician, NPI 1487807145
Child & Adolescent Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. SHARONDA NICOLE CLARK (MD)
Houston Court, Box Hill South, City of Whitehorse, Victoria, 3128, Australia
HOUSTON, TX 772666308
Phone: (832) 548-5076
Type: Mailing
Baytown Fire Department Station 1, Garth Road, Baytown, Harris County, Texas, 77521, United States
BAYTOWN, TX 77521
Phone: (832) 548-5000
Type: Location
87 Route 17 North
Suite 1-118
Maywood, NJ 07607
Phone: (551) 996-4450
Fax: (551) 996-5729
Type: Location
14007 SUMMER ASH LN
HOUSTON, TX 770445017
Phone: (214) 738-2265
Type: Mailing
30 PROSPECT AVE
HACKENSACK, NJ 076011915
Phone: (551) 996-4450
Fax: (551) 996-5729
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2023-06-09 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($124).
Total Amount
$124
General + Research + Ownership
Payments
1
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $124 |
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: 2013-11-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131112000239 | I | Psychiatry | TX | TBD |
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.
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 77266)
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Reviews
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