Dr. Kenneth W Clark
PH.D. | Clinical Psychologist
6510 Grand Teton Plz, Suite 406, Madison
Wisconsin, 53719-1029
608-833-9290 608-833-9691
Maps & DirectionsDr. Kenneth W Clark is a Madison, Wisconsin based psychologist who is specialized in Clinical Psychology. Active license number of Dr. Kenneth W Clark is 670-057 for Clinical Psychology in Wisconsin. His current practice location is 6510 Grand Teton Plz, Suite 406, Madison. Patients can reach him at 608-833-9290 or can fax him at 608-833-9691. Dr. Kenneth W Clark is PH.D. in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1942254560.
Dr. Kenneth W Clark is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Dr. Kenneth W Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Kenneth W Clark |
| Specialization: | Clinical Psychology |
| Gender: | Male |
| Credentials: | PH.D. |
| Practice Address: | 6510 Grand Teton Plz, Suite 406, Madison,
Wisconsin, 53719-1029 |
| Phone: | 608-833-9290 |
| Fax: | 608-833-9691 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1942254560 |
| NPI Enumeration Date: | 19 May, 2006 |
| NPI Last Update On: | 20 Mar, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth W Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 670-057 | Clinical Psychology | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth W Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 11676 | Other | Wisconsin | DEAN |
| 39012000 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Kenneth W Clark
6510 Grand Teton Plz, Suite 406
Madison, Wisconsin |
| Zip: | 53719-1029 |
| Phone Number: | 608-833-9290 |
| Fax Number: | 608-833-9691 |
Patients can reach Dr. Kenneth W Clark at
6510 Grand Teton Plz, Suite 406, Madison, Wisconsin or can
call to book an appointment on 608-833-9290.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.