Clark L. Jennings, M.D., Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

30385 Issued in CO

Legal business name

CLARK L. JENNINGS, M.D., INC

Practice address

1414 N Nevada Ave
Colorado Springs, CO 80907-7431

Phone

(719) 475-8038

Fax

(719) 475-0993

NPI assigned

Oct 22, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clark L. Jennings, M.D.NPI 1760452908

Title

President

Phone

(719) 475-8038

Specialties & licenses 1

Addresses

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.

• Clark Lindsey Jennings, M.D.

  • Psychiatry Physician
  • Colorado Springs, CO
  • NPI 1760452908
  Authorized official Same address or phone

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1508055906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077431",
            "telephone_number": "719-475-8038",
            "fax_number": "719-475-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077431",
            "telephone_number": "719-475-8038",
            "fax_number": "719-475-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK L. JENNINGS, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-475-8038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "30385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Clancy, CCC-SLP
• Steven Patrick Clancy, O.D.
• James W Clapper, DC
• Clarisa Mantanona Family Dentistry, P.C. (Peregrine Family Dentistry, P.C.)
• Clarity & Connection Therapy PLLC
• Claudia Clark-Hutcheon
• Anna Clark-Kilcoyne
• Alexandria Marian Clark
• Alicia Clark, FNP
• Broderick Pierre Clark, MASTER IN SOCIAL WOR

• Psychiatry Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.