Individual provider Active NPI

Gaelle Dennery

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1063171437
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404697 Issued in NY
Practice address
3305 Foster Ave
Brooklyn, NY 11210-6407
Phone
(123) 456-7890
NPI assigned
Dec 14, 2021
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404697 NY Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 709444 NY

Addresses

Primary practice location

3305 Foster Ave
Brooklyn, NY 11210-6407

Mailing address

338 Van Nostrand Ave
Jersey City, NJ 07305-1309
Phone (347) 285-1565

Other practice location 1

34-25 Vernon BLVD Long Island City
Queens, NY 11106
Phone (844) 815-1508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
709444NYMDPsychiatric/Mental Health Registered Nurse
404697NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1063171437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 VAN NOSTRAND AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051309",
            "telephone_number": "347-285-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112106407",
            "telephone_number": "123-456-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34-25 Vernon BLVD Long Island City",
            "address_purpose": "LOCATION",
            "city": "Queens",
            "state": "NY",
            "postal_code": "11106",
            "country_code": "US",
            "telephone_number": "844-815-1508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNERY",
        "first_name": "GAELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404697",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "709444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.