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Clinical Specialist, Llc
Psychiatric/Mental Health Nurse Practitioner in Pleasantville, New Jersey
NPI 1366908303

Clinical Specialist, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Pleasantville, NJ and is specialized in Psychiatric/Mental Health. Clinical Specialist, Llc practices in Pleasantville, NJ. The NPI Number for Clinical Specialist, Llc is 1366908303 and holds a License No. (New Jersey).

The current practice location address for Clinical Specialist, Llc is 1420 S New Rd, Pleasantville, NJ and can be reached out via phone at 609-200-5117 and via fax at 609-939-3671.

Location: 1420 S New Rd, Pleasantville, NJ, 08232-3728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366908303
Provider Name
Clinical Specialist, Llc
Credential
Provider Entity Type
Organization
Address
1420 S New Rd, Pleasantville, NJ, 08232-3728
Phone Number
609-200-5117
Fax Number
609-939-3671
Provider Enumeration Date
02/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
601369570 01 NJ MAGELLAN
2105250 01 WELLCARE
0673218 05 NJ
1029561 01 NJ BEACONHORIZON
institution
Provider Business Practice Location Address Details
Address
1420 S New Rd
City
Pleasantville
State
New Jersey
Zip
08232-3728
Phone Number
609-200-5117
Fax Number
609-939-3671
person
Provider Business Mailing Address Details
Address
1420 S New Rd
City
Pleasantville
State
New Jersey
Zip
08232-3728
Phone Number
609-200-5117
Fax Number
609-939-3671
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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