Shalita Clark is a Bronx, New York based nurse practitioner with 7 years of experience in Psych/Mental Health. She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shalita Clark is CV2100304 for Psych/Mental Health in Indiana. Her current practice location is 234 E 149th St, Bronx. Patients can reach her at 718-579-5006. Shalita Clark is CRNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1396214060. Shalita Clark provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Shalita Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1153662283
Enrollment ID:
I20190417002677
NPI Number:
1396214060
NPI Enumeration Date:
24 Nov, 2018
NPI Last Update On:
22 Apr, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shalita Clark are as mentioned below.
License Number
Specialization
State
Status
CV2100304
Psych/Mental Health
Indiana
Primary
402966V
Psych/Mental Health
New York
Secondary
1-147364
Psych/Mental Health
Alabama
Secondary
95010591
Psych/Mental Health
California
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Shalita Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lifesource Of North Carolina (7416132428)
135
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shalita Clark 234 E 149th St, Bronx, New York
Zip:
10451-5589
Phone Number:
718-579-5006
Patients can reach Shalita Clark at 234 E 149th St, Bronx, New York or can call to book an appointment on 718-579-5006.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.