Organization Active NPI

Clover Mental Health Psychiatric Nursing PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1093510885
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CLOVER MENTAL HEALTH PSYCHIATRIC NURSING PC
Practice address
500 Helendale Rd Ste 155
Rochester, NY 14609-3125
Phone
(585) 555-5555
NPI assigned
Feb 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Breanna Taylor Sciarrino, PMHNP
Title
Owner
Phone
(585) 555-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

500 Helendale Rd Ste 155
Rochester, NY 14609-3125

Mailing address

500 Helendale Rd Ste 155
Rochester, NY 14609-3125
Phone (585) 555-5555

National Provider Directory

National Provider Directory

Locations

500 Helendale Rd
Ste 155
Rochester, NY 14609
Phone (585) 234-3561

NPI Registry JSON

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1093510885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD STE 155",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093125",
            "telephone_number": "585-555-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD STE 155",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093125",
            "telephone_number": "585-555-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER MENTAL HEALTH PSYCHIATRIC NURSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "SCIARRINO",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-555-5555",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.