NPIMap

Organization Active NPI

Clean, Inc.

  • Community/Behavioral Health Agency
  • Memphis, TN
National Provider Identifier
1790337699
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLEAN, INC.
Practice address
3146 Write PL Apt 4
Memphis, TN 38128-4535
Phone
(901) 430-6451
NPI assigned
Jul 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Miss Donna K. Jones, LMSW/LADAC IINPI 1821643602
Title
Ceo
Phone
(901) 430-6451

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3146 Write PL Apt 4
Memphis, TN 38128-4535

Mailing address

3146 Write PL Apt 4
Memphis, TN 38128-4535
Phone (901) 430-6451

National Provider Directory

National Provider Directory

Locations

3900 New Covington Pike
Ste 114
Memphis, TN 38128

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1790337699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 WRITE PL APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381284535",
            "telephone_number": "901-430-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 WRITE PL APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381284535",
            "telephone_number": "901-430-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-430-6451",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW/LADAC II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.