Allison Kaye Clark, PMHNP-BC DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402344 Issued in NY

Practice address

1270 Avenue of the Americas Ste 757
New York, NY 10020-1700

Phone

(646) 248-7651

Fax

(646) 871-6827

NPI assigned

Feb 1, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1912405291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 AVENUE OF THE AMERICAS STE 757",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201700",
            "telephone_number": "646-248-7651",
            "fax_number": "646-871-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 AVENUE OF THE AMERICAS STE 757",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201700",
            "telephone_number": "646-248-7651",
            "fax_number": "646-871-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALLISON",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Clark-Stroman
• Lydia Louise Clark-Sumpter, PNP
• Adrian Clark, DPT
• Aileen Clark, PH.D.
• Alex Clark, FNP-BC, RN
• Andrea Clark, LCSW
• Andrew Thomas Clark, FNP-BC, DNP
• Ashleigh L Clark, PA
• Barbara Clark, LCSW
• Barbara Oliver Clark, LCSW

• 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 Oct 27, 2020; 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.