Active NPI
Jewel Barboza, NPP
- Psychiatric/Mental Health Nurse Practitioner
- Katonah, NY
National Provider Identifier
1063868099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402053
- Practice address
- 800 Cross River Rd
Katonah, NY 10536-3549 - Phone
- (914) 763-8151
- NPI assigned
- May 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 619724 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402053 | NY | Primary |
Addresses
Primary practice location
800 Cross River Rd
Katonah, NY 10536-3549
Mailing address
2 Maple St
Sleepy Hollow, NY 10591-1704
Phone (914) 332-4039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 619724 | NY | MD | Registered Nurse |
| 402053 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristen E Caroprese LCSW PLLC | Current | Accepting new patients | |
| Family Services of Westchester, Inc. | Current | Accepting new patients | |
| Westchester Health Associates, P.L.L.C | Past | Accepting new patients |
Locations
78 Main St
Hastings on Hudson, NY 10706
Phone (914) 274-8334
18 Miller Rd
Mahopac, NY 10541
Phone (845) 628-2300
1 Gateway Plz
Ste 301
Port Chester, NY 10573
Phone (914) 241-2241
2975 Westchester Ave
Ste 401
Purchase, NY 10577
Phone (914) 948-8004
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Port Chester, NY
- NPI 1699727941
-
- Adult Mental Health Clinic/Center
- Mahopac, NY
- NPI 1881165983
-
- Internal Medicine Physician
- Katonah, NY
- NPI 1508088907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1063868099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MAPLE ST",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105911704",
"telephone_number": "914-332-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CROSS RIVER RD",
"city": "KATONAH",
"state": "NY",
"postal_code": "105363549",
"telephone_number": "914-763-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBOZA",
"first_name": "JEWEL",
"name_prefix": "Mrs.",
"credential": "NPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "619724",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.