Marianne Clark Psyd LLC — NPI 1063057610

Marianne Clark Psyd LLC’s National Provider Identifier is 1063057610. NPPES classifies this as a Type 2 organization record and reports a practice location in Mount Laurel, New Jersey. The primary taxonomy is Mental Health Clinic/Center (Including Community Mental Health Center).

Key facts

NPI
1063057610
Entity type
Type 2 organization
NPPES status
Active in the August 10, 2026 snapshot
Practice location
3804 CHURCH RD
Mount Laurel, New Jersey 08054
Practice telephone
(862) 219-1125
Primary taxonomy
Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X)
Ambulatory Health Care Facilities › Clinic/Center › Mental Health (Including Community Mental Health Center)
Enumeration date
November 7, 2019
NPPES last update
November 7, 2019
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Marianne Clark Psyd LLC?

The NPI listed for Marianne Clark Psyd LLC in the NPPES snapshot is 1063057610. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1063057610 an individual or organization record?

NPPES records NPI 1063057610 as an Entity Type 2 record, which CMS assigns to an organization health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 3804 CHURCH RD, Mount Laurel, New Jersey 08054.

What taxonomy codes are listed for this NPI?

One taxonomy code is listed: Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of November 7, 2019 and an enumeration date of November 7, 2019, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Mount Laurel, New Jersey NPI directory and the New Jersey NPI directory.

Other published profiles in Mount Laurel, NJ

Up to ten other profiles this site publishes for Mount Laurel, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 47 published profiles.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.