Shalita Clark
CRNP | Nurse Practitioner - Psych/Mental Health | 7+ years Exp
234 E 149th St, Bronx
New York, 10451-5504
718-579-5006
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.
| Name: | Shalita Clark |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | CRNP |
| Experience: | 7+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2018 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 234 E 149th St, Bronx,
New York, 10451-5504 |
| Phone: | 718-579-5006 |
Professional Identification Codes:
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.