Organization Active NPI

Ann Marie Arezzo Nurse Practitioner in Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Liverpool, NY
National Provider Identifier
1083431167
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ANN MARIE AREZZO NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Practice address
290 Elwood Davis Rd
Liverpool, NY 13088-2100
Phone
(315) 713-2434
Fax
(913) 222-1897
NPI assigned
Sep 20, 2024
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Ann Marie Arezzo, PMHNP-BCNPI 1841642006
Title
Owner
Phone
(315) 569-5593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

290 Elwood Davis Rd
Liverpool, NY 13088-2100

Mailing address

6038 Lisi Gardens Dr
North Syracuse, NY 13212-1861
Phone (315) 713-2434

National Provider Directory

National Provider Directory

Locations

290 Elwood Davis Rd
Liverpool, NY 13088
Phone (315) 280-0681

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1083431167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6038 LISI GARDENS DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121861",
            "telephone_number": "315-713-2434",
            "fax_number": "913-222-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ELWOOD DAVIS RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882100",
            "telephone_number": "315-713-2434",
            "fax_number": "913-222-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN MARIE AREZZO NURSE PRACTITIONER IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "AREZZO",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-569-5593",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.