Clinical Specialist, Llc

LBN: Clinical Specialist, Llc
Clinical Specialist, Llc is an health care organization with primary practice located at 1420 S New Rd , Pleasantville NJ 08232-3728. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Clinical Specialist, Llc can be contacted via phone (609) 200-5117, or through Doyle, Ellen D via phone (609) 200-5117.

Contact Information

Primary practice address
1420 S New Rd Pleasantville NJ 08232-3728
Phone: (609) 200-5117
Fax: (609) 939-3671
Website:
Map and Directions
Authorized official contact:
Name: Doyle, Ellen D Nurse Practitioner (NP)
Phone: (609) 200-5117

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1366908303
LBN Legal business name Clinical Specialist, Llc
DBA Doing business as
Authorized official Doyle, Ellen D Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2019
Last updated May 20th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366908303 NPPES
New Jersey Other 601369570 MAGELLAN
New Jersey Other 2105250 MAGELLAN
New Jersey MEDICAID 0673218 MAGELLAN
New Jersey Other 1029561 MAGELLAN

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