Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306921853 Individual Practitioner Male Practitioner

Dr. Mark L Clark , PhD

Psychologist • Conway, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Clark, PhD is a certified Psychologist practicing in Conway, AR. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Clark delivers high-quality medical care to the local community at 2200 ADA AVE STE 302.

Dr. Clark is affiliated with Noydeen Sisters Medical Group And Clinics Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include evaluation of neuropsychological test, evaluation of neuropsychological test, first hour, neuropsychological testing, interpretation, and report by psychologist or physician per hour. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 Ada Ave Ste 302

Conway, AR 720344985

Telephone 5019320352
Fax 5019320354
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Conway, AR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +4.0 yrs vs City Avg
City Avg: 33.0 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Conway, AR (220 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (37 Years) 37 Yrs
Conway Specialty Average (33.0 Years) 33.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96133 Evaluation of neuropsychological test, each additional hour
200 30 $194.58 $68.76
96132 Evaluation of neuropsychological test, first hour
30 30 $265.00 $98.86

Medical Specialties & State Licenses

CMS Verified: 2023-05-10
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License AR 89-13P

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Hospital & Practice Group Affiliations

Noydeen Sisters Medical Group And Clinics Inc

655 Dave Ward Dr, Conway, AR 720347145

Phone: 5012094040

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Keith Schluterman , MD

Psychiatry & Neurology - Neurology

NPI 1053318147

Doctor of Medicine (M.D.)

Dr. Timothy Freyaldenhoven , MD

Psychiatry & Neurology - Neurology

NPI 1174520258

Doctor of Medicine (M.D.)

Dallas Bondhus , PA

Physician Assistant - Medical

NPI 1205826187

Physician Assistant

Savannah Bradbury , PA-C

Physician Assistant - Medical

NPI 1326468059

Physician Assistant (Certified)

Dr. Annette Anderson , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1811170301

Doctor of Medicine (M.D.)

Elana Russell , APRN

Nurse Practitioner - Family

NPI 1831589720

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 10, 2023

Registered at 2200 ADA AVE STE 302, CONWAY, AR 720344985 (Tel: 5019320352)

📍
Updated Business Mailing Address May 10, 2023

Registered at 2200 ADA AVE STE 302, CONWAY, AR 720344985 (Tel: 5019320352)

NPI Profile Active June 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2016

Registered at 2425 DAVE WARD DR, SUITE 102, CONWAY, AR 720348686 (Tel: 5019320480)

📍
Updated Business Mailing Address June 23, 2016

Registered at 2425 DAVE WARD DR, SUITE 102, CONWAY, AR 720348686 (Tel: 5019320480)

👤
Provider Name / Credentials Updated June 23, 2016

Recorded as MARK CLARK, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2016

Psychologist (License #89-13P in AR)

🟢
Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306921853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: May 10, 2023
Sole Proprietor: No

Mailing Address

2200 Ada Ave Ste 302

Conway, AR 720344985

Phone: 5019320352

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.