Individual provider Active NPI

Jewel Barboza, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Katonah, NY
National Provider Identifier
1063868099
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402053 Issued in NY
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

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180210000096 NY Practitioner - Nurse Practitioner 9931469038 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
619724NYMDRegistered Nurse
402053NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen E Caroprese LCSW PLLC CurrentSince Jan 7, 2019 Accepting new patients
Family Services of Westchester, Inc. CurrentSince Dec 9, 2017 Accepting new patients
Westchester Health Associates, P.L.L.C PastSince Jan 7, 2019 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.

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

Verify at the official NPI Registry.