CLARK NP IN PSYCHIATRY SERVICES P.C.
NPI 1689564924
Nurse Practitioner - Psychiatric/Mental Health in New York, NY
About Clark Np In Psychiatry Services P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK NP IN PSYCHIATRY SERVICES P.C. (NPI 1689564924) is a healthcare organization registered as a psychiatric/mental health in New York, New York and active in the NPI registry since July 2025. The organization lists Shalita R Clark, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clark Np In Psychiatry Services P.c. 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 Clark Np In Psychiatry Services P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Clark Np In Psychiatry Services P.C.'s NPI number?
The NPI number for Clark Np In Psychiatry Services P.C. is 1689564924. It was assigned to this organization in the NPPES registry on July 8, 2025.
Where is Clark Np In Psychiatry Services P.C. located?
Clark Np In Psychiatry Services P.C. is located at 30 Wall St Fl 8, New York, NY 10005. The listed phone number is (347) 460-9267.
What is Clark Np In Psychiatry Services P.C.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Clark Np In Psychiatry Services P.C. enrolled in Medicare?
Yes. Clark Np In Psychiatry Services P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clark Np In Psychiatry Services P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Clark Np In Psychiatry Services P.C.. 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 Clark Np In Psychiatry Services P.C. was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Clark Np In Psychiatry Services P.c. · NPI 1689564924
Psychiatric/Mental Health organization in New York, New York. Organization record, active in the CMS NPPES registry since July 8, 2025.
## Identity
- **NPI:** 1689564924 (Entity type: Organization)
- **Enumerated:** July 8, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Shalita Clark, CEO
## Practice location
- **Address:** 30 WALL ST FL 8, New York, NY 10005-2205
- **Phone:** (347) 460-9267
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689564924) · Data from the CMS NPPES public registry.