Catherine Murphy Rewakowski

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F405968 Issued in NY

Practice address

4914 W Genesee St
Camillus, NY 13031-2374

Phone

(315) 446-1435

NPI assigned

Sep 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Psychiatric NP Consultants of Central New York, PLLCGroup PAC ID 6709143191, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Psychiatric NP Consultants of Central New York, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Camillus, NY
  • NPI 1255840682
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1093484529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312374",
            "telephone_number": "315-446-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312374",
            "telephone_number": "315-446-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REWAKOWSKI",
        "first_name": "CATHERINE",
        "middle_name": "MURPHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "499358",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Diane Reale, PHARM.D.
• Regional Medical Services Inc
• Regional Medical Services Inc
• Siyun Ren, OD
• Dennis E. Resetarits, M.D.
• Cheryl L Reynolds-Bowles, LPN
• Dermot M. Reynolds, M.D.
• Holly Ann Reynolds, LPN
• Lee Rhynders
• Patrick J. Riccardi, MD

• Psychiatric/Mental Health Nurse Practitioner in Camillus, NY
• Providers in Camillus, 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 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.