Naomi St Cyr Pericone, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

404461 Issued in NY

Practice address

104 W 40TH St RM 416
New York, NY 10018-3617

Phone

(212) 369-6757

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Naomi St Cyr Pericone Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1083323307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 MOTHER GASTON BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127040",
            "telephone_number": "718-938-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 40TH ST RM 416",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183617",
            "telephone_number": "212-369-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERICONE",
        "first_name": "NAOMI",
        "middle_name": "ST CYR",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "PERICONE",
            "middle_name": "ST CYR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karlo Perica
• Megan Pericak, NP
• Ramon Ignacio Pericas, BS
• Sadia Pericles
• Daniel Brian Perico
• Catherine Michelle Perilman, LMSW
• Betty Ann Perine, RN CNM NP
• Kurt Perine
• Jessica Nicole Perini
• Giorgio Perino, M.D.

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.