Clark NP in Psychiatry Services P.C.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CLARK NP IN PSYCHIATRY SERVICES P.C.

Practice address

30 Wall St FL 8
New York, NY 10005-2205

Phone

(347) 460-9267

NPI assigned

Jul 8, 2025

Organization subpart

No

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

Authorized official

Name

Shalita R Clark, PMHNPNPI 1396214060

Title

Ceo

Phone

(347) 460-9267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Shalita Clark, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1396214060
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1689564924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MICHELLE MNR",
            "city": "MONTEVALLO",
            "state": "AL",
            "postal_code": "351151111",
            "telephone_number": "205-936-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WALL ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052205",
            "telephone_number": "347-460-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK NP IN PSYCHIATRY SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHALITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-460-9267",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

• Clarion Psychiatry PLLC
• Clarity Pediatrics Medical PLLC
• Clarity Wellness, Inc.
• Debora Clark Fairfax
• Clark Huang MD PC
• Anne E. Clark-Raymond, M.D.
• Jacqueline Clark-Stroman
• Lydia Louise Clark-Sumpter, PNP
• Adrian Clark, DPT
• Aileen Clark, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.