Individual provider Active NPI

Brittney Michelle Clark, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1053928572
Registry record updated May 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024180172 Issued in VA
Practice address
2101 E Parham Rd Ste 102
Henrico, VA 23228-2234
Phone
(804) 799-9292
Fax
(757) 930-6464
NPI assigned
Sep 29, 2020
Last updated
May 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024180172 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024180172 VA Primary

Addresses

Primary practice location

2101 E Parham Rd Ste 102
Henrico, VA 23228-2234

Mailing address

508 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1178
Phone (757) 490-6463

Other practice location 1

508 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1178
Phone (757) 490-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916002319 VA Practitioner - Nurse Practitioner 3971988510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformation Health Services LLCGroup PAC ID 2567795628, 13 clinicians

Practice addresses (Care Compare)

508 S Independence Blvd
Suite 200
Virginia Beach, VA 23452-1178
Phone (757) 490-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024180172VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transformation Health Services PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Transformation Health Services LLC Psychiatric/Mental Health PastSince Apr 1, 2025 Accepting new patients

Locations

2101 E Parham Rd
Ste 102
Richmond, VA 23228
Phone (804) 262-2333

508 S Independence Blvd
Ste 200
Virginia Beach, VA 23452
Phone (757) 490-6463

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777766400000",
    "number": "1053928572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S INDEPENDENCE BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521178",
            "telephone_number": "757-490-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E PARHAM RD STE 102",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282234",
            "telephone_number": "804-799-9292",
            "fax_number": "757-930-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 S Independence Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521178",
            "country_code": "US",
            "telephone_number": "757-490-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRITTNEY",
        "middle_name": "MICHELLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180172",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.