Organization Active NPI

JP Clarke and Associates,LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Odenton, MD
National Provider Identifier
1104122480
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JP CLARKE AND ASSOCIATES,LLC
Practice address
8828 Telegraph Road
Suite a
Odenton, MD 21113-1130
Phone
(443) 869-5791
Fax
(443) 646-0268
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Mrs. Janet M Passley-Clarke, CRNP-PMH
Title
Ceo
Phone
(443) 869-5791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X MD Primary

Addresses

Primary practice location

8828 Telegraph Road
Suite a
Odenton, MD 21113-1130

Mailing address

1011 Harlem Ave
Baltimore, MD 21217-2429
Phone (443) 869-5791

National Provider Directory

National Provider Directory

Locations

1011 Harlem Ave
Baltimore, MD 21217
Phone (717) 676-3376

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1104122480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HARLEM AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212172429",
            "telephone_number": "443-869-5791",
            "fax_number": "443-646-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8828 TELEGRAPH ROAD",
            "address_2": "SUITE A",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131130",
            "telephone_number": "443-869-5791",
            "fax_number": "443-646-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP CLARKE AND ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "PASSLEY-CLARKE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-869-5791",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.