JASMIN DESRIE CLARK (NPI# 1679062293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679062293 |
| Entity Type | Individual |
| Full Name | JASMIN DESRIE CLARK |
| Practice Address |
11578 Lefferts Blvd # 2 South Ozone Park NY 11420-2406 |
| Mailing Address |
125 Broad St 3 Rd Floor New York NY 10004 |
| Practice Telephone | 6462817793 |
| Mailing Telephone | 9175800179 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NYCPS-P-2029 | NY | Behavioral Health & Social Service Providers |
| Street Address |
11578 LEFFERTS BLVD # 2 |
| City | SOUTH OZONE PARK |
| State | NY |
| Zip Code | 11420-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652934 | Elijah Roberto Tavarez | Counselor | 10810 Rockaway Blvd, South Ozone Park, NY 11420 | 2020-09-01 |
| 1285247353 | Carlene Evans | Counselor | 109 -18 Rockaway Blvd, Ozone Park, NY 11420 | 2020-08-28 |
| 1558973636 | Alisa Montgomery | Counselor | 108-19 Rockaway Blvd., South Ozone, NY 11420 | 2020-08-19 |
| 1194380451 | Janette Homecare of New York | Registered Nurse | 126-16 111th Avenue, South Ozone Park, NY 11420 | 2019-05-02 |
| 1255994364 | Jasoda Girdhari Ali | Physician Assistant | 132 12 Linden Blvd, South Ozone Park, NY 11420 | 2019-04-16 |
| 1144794553 | Levinia Melaram | Nurse Practitioner | 12234 149th Ave Fl 2, South Ozone Park, NY 11420 | 2019-01-18 |
| 1558848572 | Avinell Shane Abdool | Physician Assistant | 109-42-111th Street, South Ozone Park, NY 11420 | 2018-07-23 |
| 1427556703 | Shari Dimple Mohan | Specialist | 132-52 114 Street, South Ozone Park, NY 11420 | 2018-01-31 |
| 1831625375 | Yes We Can Speech Language Pathologist LLC | Case Management | 111-58 Leffert Blvd, 2f, South Ozone Park, NY 11420 | 2017-05-03 |
| 1992255350 | Community Cardiovascular Services, Pllc | Internal Medicine | 117-44, 122nd Street, South Ozone Park, NY 11420 | 2016-10-10 |
| Find all providers in zip 11420 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727417 | Shenea Olivia Overstreet | Counselor | 12811 109th Ave, South Ozone Park, NY 11420-1601 | 2017-08-25 |
| 1457892382 | Melanie Reid | Counselor | 10948 132nd St, South Ozone Park, South Ozone Park, NY 11420-1709 | 2017-03-11 |
| 1093265886 | Catalina Olivares | Counselor | 10929 110th St, South Ozone Park, NY 11420-1012 | 2016-10-05 |
| 1376957704 | Albanerys Martinez | Counselor | 13324 Hawtree Creek Rd, South Ozone Park, NY 11420-3104 | 2014-06-13 |
| 1861005233 | Adrienne Hughes | Counselor | 10819 Rockaway Blvd, South Ozone Park, NY 11420-1034 | 2020-08-26 |
| 1154933307 | Steffanie Johnson | Counselor | 10819 Rockaway Blvd, South Ozone Park, NY 11420-1034 | 2020-08-19 |
| 1316559792 | Kimberly Paige Persico | Counselor | 10819 Rockaway Blvd, South Ozone Park, NY 11420-1034 | 2020-08-18 |
| 1821600206 | Taylor Jaris Jenkins I | Counselor | 10819 Rockaway Blvd, South Ozone Park, NY 11420-1034 | 2020-08-18 |
| 1316564404 | Jin Kim | Counselor | 10819 Rockaway Blvd, South Ozone Park, NY 11420-1034 | 2020-07-06 |
| 1790319507 | Georgia Trimikliniotis | Counselor | 10819 Rockaway Blvd, South Ozone Park, NY 11420-1034 | 2020-03-02 |
| Find all providers in SOUTH OZONE PARK | ||||
| City | SOUTH OZONE PARK |
| Zip Code | 11420 |
Please comment or provide details below to improve the information on JASMIN DESRIE 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.