CLARK RAYMOND GENTILE
NPI 1174197933
Counselor - Mental Health in Brooklyn, NY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since May 17, 2021

159 20TH ST, BROOKLYN, NY 11232(646) 685-4422 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2025, Jun 12, 2025, May 17, 2021 (3 updates tracked since 2021).

On this page

About Clark Raymond Gentile NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK RAYMOND GENTILE (NPI 1174197933) is an individual mental health provider in Brooklyn, New York, licensed in New York (015535) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1174197933

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameCLARK RAYMOND GENTILE

Location Address159 20TH STBrooklyn, NY 11232-1253

Mailing Address128 Marine Ave Apt 6dBrooklyn, NY 11209-7545 · (347) 674-7783

Phone(646) 685-4422

Sole ProprietorYes

Enumeration DateMay 17, 2021

Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1174197933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 015535

159 20TH ST, Brooklyn, NY 11232

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP