Clark Mental Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CLARK MENTAL HEALTH SERVICES

Practice address

1331 Union Ave Ste 1148
Memphis, TN 38104-7509

Phone

(901) 292-4407

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Zina R Clark, APRN, PMHNP-BCNPI 1508456096

Title

Owner

Phone

(901) 292-4407

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zina Renee Clark

  • Gerontology Registered Nurse
  • Memphis, TN
  • NPI 1508456096
  NPD Authorized official
• Keevia Y Porter, NP-C

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1770742066

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1639869050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1148",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047509",
            "telephone_number": "901-292-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1148",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047509",
            "telephone_number": "901-292-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ZINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-292-4407",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Clardy, PT
• Bill Clariana, D.PH.
• Brian Clariana, PHARM.D.
• Dona Lyn Clarin, FNP
• Lisa Clark Askew
• Alisha Kaye Clark, RN, CPNP-AC
• Ariel Clark
• Bradly D Clark, MD
• Camaya Alisha Clark
• Carolyn D Clark

• Psychiatric/Mental Health Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.