PSY-CLARITY MENTAL HEALTH


Address: 647 Delores Dr, Grand Prairie, TX 75052-4850
Phone: 3182728386

PSY-CLARITY MENTAL HEALTH (NPI# 1467081398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467081398
Entity Type Organization
Organization Name PSY-CLARITY MENTAL HEALTH
Practice Address 647 Delores Dr
Grand Prairie
TX 75052-4850
Practice Telephone 3182728386
Mailing Telephone 3182728386
Enumeration Date 2020-04-03
Last Update Date 2020-04-03
Authorized Official Name JANET JIMMERSON (OWNER)
Authorized Official Telephone 3182728386
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Psy-Clarity Mental Health, PLLC Other Name - Individual/Organization

Office Location

Street Address 647 DELORES DR
City GRAND PRAIRIE
State TX
Zip Code 75052-4850

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City GRAND PRAIRIE
Zip Code 75052

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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