Clinical Specialist, LLC
Nurse Practitioner, Psych/Mental Health in Pleasantville, New Jersey
1366908303- Practice location
- 1420 S New RD, Pleasantville, NJ 08232-3728
- Phone
- 609-200-5117
- Fax
- 609-939-3671
- Last updated
- May 20, 2022
Clinical Specialist, LLC is a healthcare organization based in Pleasantville, NJ. Clinical Specialist, LLC practices in Pleasantville, NJ. The NPI Number for Clinical Specialist, LLC is 1366908303. The current practice location address for Clinical Specialist, LLC is 1420 S New RD, Pleasantville, NJ 08232-3728 and can be reached out via phone at 609-200-5117 and via fax at 609-939-3671.
Provider Profile Details
- NPI Number
- 1366908303
- Provider Name
- Clinical Specialist, LLC
- Provider Entity Type
- Organization
- Address
- 1420 S New RD, Pleasantville, NJ 08232-3728
- Phone Number
- 609-200-5117
- Fax Number
- 609-939-3671
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Ellen D Doyle, NP · Ownwer/Provider · 609-200-5117
- Provider Enumeration Date
- February 14, 2019
- Last Update Date
- May 20, 2022
- Certification Date
- July 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1420 S New RD
Pleasantville, NJ 08232-3728 - City
- Pleasantville
- State
- New Jersey
- Zip
- 08232-3728
- Phone Number
- 609-200-5117
- Fax Number
- 609-939-3671
Provider Business Mailing Address Details
- Address
- 1420 S New RD
Pleasantville, NJ 08232-3728 - City
- Pleasantville
- State
- NJ
- Zip
- 08232-3728
- Phone Number
- 609-200-5117
- Fax Number
- 609-939-3671
License Information
- Taxonomy (1)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (2)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (3)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (4)
- Clinic/Center, Primary Care · 261QP2300X
- Taxonomy (5)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Clinical Specialist, LLC?
The NPI number of Clinical Specialist, LLC is 1366908303. It was assigned on February 14, 2019 and is currently active in the NPPES registry.
What is the specialty of Clinical Specialist, LLC?
Clinical Specialist, LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Clinical Specialist, LLC practice?
The practice location is 1420 S New RD, Pleasantville, NJ 08232-3728. The office can be reached at 609-200-5117 (phone) or 609-939-3671 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366908303 directly on the NPPES registry website.