Active NPI
Clarity Rose Mental Health and Wellness Center, PLLC
- Clinical Psychologist
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CLARITY ROSE MENTAL HEALTH AND WELLNESS CENTER, PLLC
- Practice address
- 1110 Bonifant St Ste 201H
Silver Spring, MD 20910-3358 - Phone
- (804) 215-6247
- NPI assigned
- Dec 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexis Exum, PHD
- Title
- Owner
- Phone
- (804) 215-6247
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X | |||
| Health Psychologist | 103TH0004X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Registered Dietitian | 133V00000X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X |
Addresses
Primary practice location
1110 Bonifant St Ste 201H
Silver Spring, MD 20910-3358
Mailing address
6249 Greenwick Dr
Glen Allen, VA 23059-5451
Other practice location 1
6249 Greenwick Dr
Glen Allen, VA 23059-5451
Phone (804) 215-6247
National Provider Directory
National Provider DirectoryLocations
1110 Bonifant St
Ste 201H
Silver Spring, MD 20910
Phone (804) 215-6247
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Silver Spring, MD
- NPI 1952155442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733961600000",
"number": "1194531764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6249 GREENWICK DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 BONIFANT ST STE 201H",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103358",
"telephone_number": "804-215-6247"
}
],
"practiceLocations": [
{
"address_1": "6249 Greenwick Dr",
"address_purpose": "LOCATION",
"city": "Glen Allen",
"state": "VA",
"postal_code": "230595451",
"country_code": "US",
"telephone_number": "804-215-6247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CLARITY ROSE MENTAL HEALTH AND WELLNESS CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A",
"authorized_official_last_name": "EXUM",
"authorized_official_first_name": "ALEXIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-215-6247",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.