Shikema Monique Clark

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

30 W Columbia St
Hempstead, NY 11550-2411

Phone

(516) 385-2323

NPI assigned

Jul 3, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Door Individualized Learning Program LLC

  • Cognitive & Behavioral Psychologist
  • Hempstead, NY
  • NPI 1821768375
  NPD
• Red Door Therapeutic Services LLC

  • Early Intervention Provider Agency
  • Hempstead, NY
  • NPI 1578171229
  NPD

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1861238453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W COLUMBIA ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115502411",
            "telephone_number": "516-385-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W COLUMBIA ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115502411",
            "telephone_number": "516-385-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SHIKEMA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Christian, PA-C
• Ruth Christophe
• Jongwoo Chung
• Timothy Chung
• Citynp Nurse Practitioner in Psychiatry and Nurse Practitioner (CityNP)
• Ann Marie Clarke, RN, FNP
• Jennifer J Clarke, RN
• Angela Yamileth Claros Aguilar, LPN
• Okyro Candelaria Claudio, D.O.
• Donald Alexander Claxton, M.D.

• Specialist in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.