Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Racheal Clark, PH.D., BCBA

Psychologist in Clarksville, MD · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124685805

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Registry record

Entity type Individual (Type 1)

Name Racheal Clark

Credential PH.D., BCBA

Sex Female

Practice address 6100 Daylong Ln Ste 103, Clarksville, MD, 21029

Phone (410) 531-8100

Enumeration date May 28, 2019

Last updated in NPPES Oct 19, 2021

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

103T00000X Psychologist Behavioral Health & Social Service Providers · License 06447 (MD) Primary

PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1124685805 active?

Yes, as of the latest NPPES snapshot, NPI 1124685805 is active (record last updated 2021-10-19).

How do I verify Racheal Clark's NPI record?

Cross-check NPI 1124685805 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-19.