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Dr. Autumn Clark, DO

Psychiatry Physician in Springfield, MO · enumerated 2006.

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

National Provider Identifier

1912911090

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Registry record

Entity type Individual (Type 1)
Name Dr. Autumn Clark
Credential DO
Sex Female
Practice address 1965 S Fremont Ave, Suite 330, Springfield, MO, 65804
Phone (417) 820-8180
Fax (417) 820-8183
Enumeration date Jul 27, 2006
Last updated in NPPES May 2, 2013

Taxonomy & licenses

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 0102201521 (VA) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 2010017178 (MO) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
1912911090 Medicaid MO -
P00852000 Other MO RAILROAD MEDICARE #
183130003 Medicaid AR -

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.

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Frequently asked questions

What is the NPI number for Autumn Clark?
The National Provider Identifier (NPI) for Autumn Clark is 1912911090, a Type 1 (individual) record in the CMS NPPES registry.
Where does Autumn Clark practice?
The practice location on file with NPPES is in Springfield, MO. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-02.