What is Jamillah Clark's NPI number?

Jamillah Clark's National Provider Identifier (NPI) is 1962132415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jamillah Clark's specialty?

Jamillah Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jamillah Clark located?

Jamillah Clark's practice location on file with NPPES is 4218 Burton St Se, Grand Rapids, MI 49546-6121.

What is Jamillah Clark's phone number?

The practice phone number listed in the NPPES registry for Jamillah Clark is (855) 407-7575.

Is Jamillah Clark's NPI active?

Yes — Jamillah Clark's NPI (1962132415) is active in the NPPES registry as of the last update on 2025-03-10.

IndividualActive

Jamillah Clark

NPI 1962132415 · Behavior Technician · Grand Rapids, MI

Jamillah Clark is a Behavior Technician provider in Grand Rapids, MI (NPI 1962132415).

Provider details

NPI number: 1962132415
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4218 Burton St Se

Grand Rapids, MI 49546-6121

Phone: (855) 407-7575

Street-level locationGet directions

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Mailing address