Active NPI
Jennifer Clarke
- School Psychologist
- Garden City, NY
National Provider Identifier
1922538867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 120667
- Practice address
- 300 Garden City PLZ
Garden City, NY 11530-3302 - Phone
- (516) 747-9030
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 120667 | NY | Primary |
Addresses
Primary practice location
300 Garden City PLZ
Garden City, NY 11530-3302
Mailing address
2145 Wantagh Park Dr
Wantagh, NY 11793-4100
Phone (516) 351-0822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120667 | NY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Therapy Services, LLC | Past | Accepting new patients | |
| Gayle E Kilgman Therapuetic Resources | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Garden City, NY
- NPI 1073875795
-
- Community/Behavioral Health Agency
- Garden City, NY
- NPI 1841649928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497312000000",
"number": "1922538867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 WANTAGH PARK DR",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117934100",
"telephone_number": "516-351-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GARDEN CITY PLZ",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303302",
"telephone_number": "516-747-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2017-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "120667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.