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CLINICAL SPECIALIST, LLC
NPI 1366908303
Nurse Practitioner - Psychiatric/Mental Health in Pleasantville, NJ

Active since February 14, 2019
1420 S NEW RD, PLEASANTVILLE, NJ 08232(609) 200-5117(609) 939-3671 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2022, Jul 9, 2020, Mar 4, 2019 and 1 more (4 updates tracked since 2019).

About Clinical Specialist, Llc NPPES

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

CLINICAL SPECIALIST, LLC (NPI 1366908303) is a healthcare organization registered as a psychiatric/mental health in Pleasantville, New Jersey and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Pleasantville and lists Ellen D Doyle, Ownwer/provider, as its authorized official.

NPPES Registry Identity

NPI1366908303
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCLINICAL SPECIALIST, LLC
Location Address1420 S NEW RDPleasantville, NJ 08232-3728
Mailing Address1420 S New RdPleasantville, NJ 08232-3728 · (609) 200-5117 · Fax (609) 939-3671
Phone(609) 200-5117
Fax(609) 939-3671
Organization SubpartNo
Authorized OfficialEllen D DoyleOwnwer/provider · (609) 200-5117
Enumeration DateFebruary 14, 2019
Last NPPES UpdateMay 20, 20224 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
✔ NPI 1366908303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1420 S NEW RD, Pleasantville, NJ 08232
Open in Google Maps ↗

Secondary Practice Location 1

Location 1305 Sanderling LnPleasantville, NJ 08232-2902 · Phone (609) 568-0305 · Fax (609) 939-3671

Other Identifiers 4

Medicaid0673218NJ
Other1029561NJ · Beaconhorizon
Other601369570NJ · Magellan
Other2105250Wellcare

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinical Specialist, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinical Specialist, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ellen Doyle, APN,PMHNP-C,FNP-C
Nurse Practitioner
NPI 1174774061
1420 S NEW RD UNIT 9
Pleasantville, NJ 08232
(609) 200-5117
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinical Specialist, LLC's NPI number?

The NPI number for Clinical Specialist, LLC is 1366908303. It was assigned to this organization in the NPPES registry on February 14, 2019.

Where is Clinical Specialist, LLC located?

Clinical Specialist, LLC is located at 1420 S New Rd, Pleasantville, NJ 08232. The listed phone number is (609) 200-5117.

What is Clinical Specialist, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Clinical Specialist, LLC enrolled in Medicare?

Yes. Clinical Specialist, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinical Specialist, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Clinical Specialist, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinical Specialist, LLC was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.