Dr Jerdine Clarke, PSYD is a
Psychologist - Clinical based in Oakland, California. Dr Jerdine Clarke is licensed to practice in California (license number 33917) and her current practice location is
2940 Summit St Ste 2d, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 214-2014.
NPI number for Dr Jerdine Clarke is 1982002846 and her current mailing address is 909 Marina Village Pkwy # 225, Alameda, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982002846.
Healthcare Provider's Profile
| Full Name | Dr Jerdine Clarke |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 2940 Summit St Ste 2d, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982002846
- Provider Enumeration Date: 12/09/2014
- Last Update Date: 01/04/2024
Medical Identifiers
Medical identifiers for Dr Jerdine Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982002846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33917 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerdine Clarke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jerdine Clarke, PSYD
909 Marina Village Pkwy # 225,
Alameda, CA 94501-1048
Ph: (510) 214-2014 | Dr Jerdine Clarke, PSYD
2940 Summit St Ste 2d,
Oakland, CA 94609-3416
Ph: (510) 214-2014 |
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