Mr Douglass Burns Clark, MDIV - Couples Therapy in Canaan, NY

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Mr Douglass Burns Clark, MDIV is a Marriage & Family Therapist based in Canaan, New York. Mr Douglass Burns Clark is licensed to practice in New York (license number 000546) and his current practice location is 1559 County Route 5, Canaan, New York. He can be reached at his office (for appointments etc.) via phone at (917) 968-2493.

NPI number for Mr Douglass Burns Clark is 1386470789 and his current mailing address is P.o. Box 75, Canaan, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386470789.

Contact Information

Mr Douglass Burns Clark, MDIV
1559 County Route 5,
Canaan, NY 12029
(917) 968-2493
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Douglass Burns Clark
GenderMale
SpecialityMarriage & Family Therapist
Location1559 County Route 5, Canaan, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386470789
  • Provider Enumeration Date: 09/11/2024
  • Last Update Date: 09/11/2024

Medical Identifiers

Medical identifiers for Mr Douglass Burns Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386470789NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 000546 (New York)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. Mr Douglass Burns Clark 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 AddressPractice Location Address
Mr Douglass Burns Clark, MDIV
P.o. Box 75,
Canaan, NY 12029

Ph: (917) 968-2493		Mr Douglass Burns Clark, MDIV
1559 County Route 5,
Canaan, NY 12029

Ph: (917) 968-2493

Reviews and Comments


Marriage & Family Therapist in Canaan, NY


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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