Individual provider Active NPI

John Clarkin, PHD

  • Psychiatry Physician
  • White Plains, NY
National Provider Identifier
1083702351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00003980 Issued in NY
Practice address
Nyh-Westchester Division, 21 Bloomingdale Road
White Plains, NY 10605
Phone
(914) 997-5911
Fax
(212) 746-3687
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 00003980 NY Primary

Addresses

Primary practice location

Nyh-Westchester Division, 21 Bloomingdale Road
White Plains, NY 10605

Mailing address

Nyh-Westchester Division, 21 Bloomingdale Road
White Plains, NY 10605
Phone (212) 746-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2019 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00003980NYMDPsychiatry Physician
003980NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083702351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NYH-WESTCHESTER DIVISION, 21 BLOOMINGDALE ROAD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "212-746-0373",
            "fax_number": "212-746-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NYH-WESTCHESTER DIVISION, 21 BLOOMINGDALE ROAD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-997-5911",
            "fax_number": "212-746-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKIN",
        "first_name": "JOHN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "00003980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.