Dr Kina Annette Johnson Clark, PHD - Medicare Psychologist in Rocklin, CA

Dr Kina Annette Johnson Clark, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rocklin, California. She graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 3724 Atherton Rd Ste 100, Rocklin, California. You can reach out to her office (for appointments etc.) via phone at (916) 726-4030.

Dr Kina Annette Johnson Clark is licensed to practice in California (license number PSY16066) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1326061813.

Contact Information

Dr Kina Annette Johnson Clark, PHD
3724 Atherton Rd Ste 100,
Rocklin, CA 95765-3717
(916) 726-4030
(916) 786-3080

Map and Direction




Healthcare Provider's Profile

Full NameDr Kina Annette Johnson Clark
GenderFemale
SpecialityClinical Psychologist
Experience29 Years
Location3724 Atherton Rd Ste 100, Rocklin, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kina Annette Johnson Clark graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1326061813
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 06/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729139837
  • Enrollment ID: I20090701000429

Medical Identifiers

Medical identifiers for Dr Kina Annette Johnson Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326061813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY16066 (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 Kina Annette Johnson Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kina Annette Johnson Clark, PHD
1380 Lead Hill Blvd Ste 110,
Roseville, CA 95661-2997

Ph: (916) 532-0996
Dr Kina Annette Johnson Clark, PHD
3724 Atherton Rd Ste 100,
Rocklin, CA 95765-3717

Ph: (916) 726-4030

Reviews and Comments


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