NPI: 1508339524 · CALEDONIA, MI 49316 · Psychologist · NPI assigned 01/03/2019
| Authorized Official | CLARK, MATTHEW (OWNER) |
| NPI Enumeration Date | 01/03/2019 |
Other providers sharing the same authorized official: CLARK, MATTHEW
| Provider | City | State | Total Paid |
|---|---|---|---|
| COVENANT FAMILY ALLERGY, PC | NORTH AUGUSTA | SC | $1.71M |
| CLARK COUNSELING SERVICES LLC | WINDSOR | CT | $172K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 23 | $2K |
| 2021 | 65 | $6K |
| 2022 | 18 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | 106 | 68 | $9K |