Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. MICHELLE OLIVETTE CLARK
Active
Individual
DR. MICHELLE OLIVETTE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A 31665
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A 31665
STATE MEDICAL LICENSE
CA
Enumeration date
03/03/2007
Last updated
02/09/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up