Christelle McClure, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00942000 Issued in NJ

Practice address

5 Regent St BLDG 5S
Livingston, NJ 07039-1675

Phone

(973) 994-1011

Fax

(973) 994-1220

NPI assigned

Aug 7, 2019

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hackensackmeridian.christellecousseillent@136290.advancedmd-direct.com
• Direct secure messaging: ccousseillent48187@epicdirect.rwjbh.org

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

• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420
  Medicare reassignment NPD
• Healthy Headspace LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoboken, NJ
  • NPI 1275380339
  NPD Authorized official

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1902451875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HANCOCK AVE APT 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072289",
            "telephone_number": "973-896-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGENT ST BLDG 5S",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391675",
            "telephone_number": "973-994-1011",
            "fax_number": "973-994-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "CHRISTELLE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00942000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert H Mayor, M.D.
• Ilana Mazur, LCSW
• Daniel Mazzaferro
• Marilyn Denise MC Arthur, M.D.
• Cornelius McCarthy, M.D.
• Anne McDonald, PT
• James McEnrue, MD
• Molly McEvoy
• Rosemary Scobey McGee, LPC
• Matthew J McGowan, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.