Individual provider Active NPI

Rachel Perrin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Princeton, NJ
National Provider Identifier
1073844692
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00353500 Issued in NJ
Practice address
Princeton University McCosh Health Center
Washington Road
Princeton, NJ 08544-0001
Phone
(609) 258-3141
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401219-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP014702 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00353500 NJ Primary

Addresses

Primary practice location

Princeton University McCosh Health Center
Washington Road
Princeton, NJ 08544-0001

Mailing address

Princeton University McCosh Health Center
Washington Road
Princeton, NJ 08544-0001
Phone (609) 258-3141

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-0004

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F401219-1NYMDPsychiatric/Mental Health Nurse Practitioner
SP014702PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Radiological Group Inc Past Accepting new patients

Organizations & group practices 1

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1073844692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRINCETON UNIVERSITY MCCOSH HEALTH CENTER",
            "address_2": "WASHINGTON ROAD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085440001",
            "telephone_number": "609-258-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRINCETON UNIVERSITY MCCOSH HEALTH CENTER",
            "address_2": "WASHINGTON ROAD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085440001",
            "telephone_number": "609-258-3141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "RACHEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401219-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP014702",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00353500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.