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JANE ELIZABETH CLARK RNCS NPI 1639262579


NPI Information

NPI: 1639262579
Provider Name: JANE ELIZABETH CLARK, RNCS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
675 TOWER AVE
SUITE 301
HARTFORD, CT
ZIP 06112
Phone: (860) 714-2750
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Jane Elizabeth Clark, RNCS is a psychiatric/mental health nurse practitioner in Hartford, CT with 27 years of experience. Jane Elizabeth Clark, RNCS NPI is 1639262579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

675 TOWER AVE
SUITE 301
HARTFORD, CT
ZIP 06112-273
Phone: (860) 714-2750
Fax: (860) 714-8591

The NPI 1639262579 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90836)
  • Psychotherapy, 45 minutes (HCPCS:90834)

The enumeration date for this NPI number is 10/2/2006 and was last updated on 12/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult001952CONNECTICUTNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health1952CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1890000637MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.