Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114081577 Individual Practitioner Male Practitioner

Dr. Mark W Clark , PsyD

Psychologist • Vancouver, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mark Clark, PsyD is a certified Psychologist practicing in Vancouver, WA. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Clark delivers high-quality medical care to the local community at 7507 NE 51ST ST.

Dr. Clark is affiliated with Western Psychological And Counseling Services Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7507 Ne 51st St

Vancouver, WA 986626007

Telephone 3609061190
Fax 3609061193
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Vancouver, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +10.5 yrs vs City Avg
City Avg: 19.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Vancouver, WA (1137 Statewide)

Telehealth Adoption Rate
15.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (30 Years) 30 Yrs
Vancouver Specialty Average (19.5 Years) 19.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
79 14 $335.00 $145.31

Medical Specialties & State Licenses

CMS Verified: 2026-03-13
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WA PY2226

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.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License WA PY2226

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
164936 (OR)

Hospital & Practice Group Affiliations

Western Psychological And Counseling Services Llc

7507 Ne 51st St, Vancouver, WA 986626007

Phone: 3609061190

Practice Associates & Co-Workers

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

40 Associated Practitioners
Shelly Nicol

Psychologist - Clinical

NPI 1023244555
Adam Hall , LMHCA

Counselor - Mental Health

NPI 1053086538
Marla Carman , LPC, LMHC

Counselor - Mental Health

NPI 1083949523

Licensed Professional Counselor, Licensed Mental Health Counselor

Judith Potts , MA

Counselor - Mental Health

NPI 1104904762

Master of Arts

Jeffrey Knight , LICSW, LCSW

Social Worker - Clinical

NPI 1114396025

Licensed Independent Clinical Social Worker, Licensed Clinical Social Worker

Dr. Amy Aadland , PsyD

Psychologist - Clinical

NPI 1134378227

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2026

Psychologist (License #PY2226 in WA)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 7507 NE 51ST ST, VANCOUVER, WA 986626007 (Tel: 3609061190)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 82819, PORTLAND, OR 972820819 (Tel: 5032335405)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MARK CLARK, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist (License #PY2226 in WA)

🟢
Initial NPI Registration & Enumeration December 20, 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: 1114081577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2006
Last Update: March 13, 2026
Sole Proprietor: No

Mailing Address

Po Box 82819

Portland, OR 972820819

Phone: 5032335405

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.