MS. PENNY LOUISE CLARK (NPI# 1568572790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568572790 |
| Entity Type | Individual |
| Full Name | MS. PENNY LOUISE CLARK |
| Credential | MA LPC |
| Practice Address |
221 Palisade Ave Palisade Behavioral Care Jersey City NJ 07306 |
| Practice Telephone | 2016563116 |
| Practice Fax Number | 2016569044 |
| Mailing Telephone | 2016563116 |
| Mailing Fax Number | 2016569044 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00319000 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821143611 | Penny Abel Clark | Social Worker | 419 Elaina Ln, Murfreesboro, TN 37128-5817 | 2007-01-24 |
| 1912220161 | Penny Jaymes Clark | Counselor | 1290 Jordan St, North Liberty, IA 52317-8020 | 2010-03-02 |
| 1588861074 | Penny Jo Clark | Physical Therapist | 1600 23rd St, Bedford, IN 47421-4704 | 2007-06-28 |
| Street Address |
221 PALISADE AVE PALISADE BEHAVIORAL CARE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235247248 | Palisade Behavioral Care, Pa | Psychiatry & Neurology | 221 Palisade Ave, Palisade Behavioral Care, Jersey City, NJ 07306 | 2006-08-29 |
| 1649539479 | Andres Vinuela | Specialist | 221 Palisade Ave, Jersey City, NJ 07306-2709 | 2012-05-14 |
| 1023277035 | Martha Jane Malana | Counselor | 221 Palisade Ave, Jersey City, NJ 07306-1110 | 2008-06-04 |
| 1861675423 | Mary Walsh | Psychologist | 221 Palisade Ave, Jersey City, NJ 07306 | 2007-12-06 |
| 1023128253 | Jeffery Matlin | Counselor | 221 Palisade Ave, Jersey City, NJ 07306 | 2006-08-30 |
| 1598875734 | Devendra Kurani | Psychiatry & Neurology | 221 Palisade Ave, Palisade Behavioral Care, Jersey City, NJ 07306 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655186 | Hazem Shokry Mohamed Abdelhafez | Physical Therapist | 2 Vroom St, 4 R Apt, Jersey City, NJ 07306 | 2020-06-26 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| 1932679909 | Morgan Teeratananon | Occupational Therapist | 2854 John Fitzgerald Kennedy Blvd, Jersey City, NJ 07306 | 2018-12-03 |
| 1255824892 | Best Home Care Inc | Home Health | 879 Bergen Avenue, Ste 200, Ste 200, Jersey City, NJ 07306 | 2018-06-08 |
| 1518455203 | New Jersey Weight Loss & Surgery PC | Surgery | 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 | 2018-04-27 |
| 1225546922 | Chungmoo Huh | Acupuncturist | 720 Bergen Ave, Jersey City, NJ 07306 | 2018-01-16 |
| 1215451042 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2859 61 Kennedy Blvd, Jersey City, NJ 07306 | 2017-08-02 |
| 1447789128 | Krishna Shah | Physical Therapist | 43 Central Avenue, Jersey City, NJ 07306 | 2017-06-07 |
| 1275075749 | Jersey City Home Care | Home Health | 780 Newark Avenue Suite #203, Jersey City, NJ 07306 | 2016-11-15 |
| 1356752380 | Dina Ibrahim | Podiatrist | 550 Newark Ave Ste 307, Jersey City, NJ 07306 | 2014-05-13 |
| Find all providers in zip 07306 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646914 | Sailume Walo-roberts | Counselor | 123 Town Square Pl Ste 688, Jersey City, NJ 07310-1756 | 2020-07-08 |
| 1487293932 | Acj Consultants, Inc. | Counselor | 1600 Kennedy Blvd, Jersey City, NJ 07305 | 2020-01-02 |
| 1548797756 | Comprehensive Counseling Service | Counselor | 4 Suburbia Ter, Jersey City, NJ 07305-1254 | 2017-05-18 |
| 1245691831 | Diane Kathryn Jordan | Counselor | 156 Neptune Ave, Jersey City, NJ 07305-2508 | 2016-03-10 |
| 1881060804 | Tim Fredrik E. Edquilag | Counselor | 221 Stevens Ave, Jersey City, NJ 07305-2112 | 2015-08-13 |
| 1174826259 | Silvana Amar | Counselor | 96 Sherman Place, Jersey City, NJ 07307 | 2010-12-13 |
| 1316173693 | Jane Monica Spurrier | Counselor | 228 1st St, #2b, Jersey City, NJ 07302-2857 | 2009-06-01 |
| 1326236639 | Barbara Hines | Counselor | 517 Manila Ave # 2, Jersey City, NJ 07302-1725 | 2007-10-11 |
| 1649467242 | Michele Rovello Visco | Counselor | 121 Newark Ave Ste 503, Jersey City, NJ 07302-5873 | 2007-09-27 |
| 1043420532 | Robert Loffredo | Counselor | 3040 Kennedy Blvd., Jersey City, NJ 07306 | 2007-05-23 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07306 |
Please comment or provide details below to improve the information on MS. PENNY LOUISE CLARK.
| 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.