Organization Active NPI

Clearpath Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1386466118
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CLEARPATH PSYCHIATRY LLC
Practice address
600 Westridge Pkwy Ste 714
PMB 1282
McDonough, GA 30253-7789
Phone
(770) 527-6341
NPI assigned
Oct 31, 2024
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Yebu Yaye Jalloh Charles, CNP, PMHNP-BCNPI 1275298119
Title
Owner
Phone
(770) 527-6341

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 1

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

Addresses

Primary practice location

600 Westridge Pkwy Ste 714
PMB 1282
McDonough, GA 30253-7789

Mailing address

600 Westridge Pkwy Ste 714
PMB 1282
McDonough, GA 30253-7789
Phone (770) 527-6341

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1386466118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WESTRIDGE PKWY STE 714",
            "address_2": "PMB 1282",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537789",
            "telephone_number": "770-527-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WESTRIDGE PKWY STE 714",
            "address_2": "PMB 1282",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537789",
            "telephone_number": "770-527-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARPATH PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "JALLOH CHARLES",
        "authorized_official_first_name": "YEBU",
        "authorized_official_middle_name": "YAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-527-6341",
        "authorized_official_credential": "CNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.