Healthcare Provider Details

I. General information

NPI: 1962324517
Provider Name (Legal Business Name): CLEARPATH PSYCHIATRY & COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 REED RD
BROOMALL PA
19008-3655
US

IV. Provider business mailing address

4128 W CHESTER PIKE
NEWTOWN SQUARE PA
19073-3129
US

V. Phone/Fax

Practice location:
  • Phone: 484-860-8379
  • Fax:
Mailing address:
  • Phone: 484-860-8379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JUDE NNAMDI OKEKE
Title or Position: CEO
Credential: OKEKE
Phone: 484-860-8379