Jayne Eliach, RN, MS CERTIFIED CLI

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

297325 Issued in NY

Practice address

470 West End Avenue
Suite 1D
Ny, NY 10024

Phone

(212) 721-7211

NPI assigned

Dec 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1144764168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 WEST END AVENUE",
            "address_2": "SUITE 1D",
            "city": "NY",
            "state": "NY",
            "postal_code": "10024",
            "telephone_number": "212-721-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 WEST END AVENUE",
            "address_2": "SUITE 1D",
            "city": "NY",
            "state": "NY",
            "postal_code": "10024",
            "telephone_number": "212-721-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIACH",
        "first_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "RN, MS CERTIFIED CLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "297325",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "297325",
            "primary": true
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "NY",
            "license": "297325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duke Family Dentistry PLLC
• Cyrus R During
• Easy Choice Agency
• Juan Carlos Echevarria, MD
• Wayne Edwards
• James Elie I
• Mark A Erlich, MD
• Glenda Espinosa, NP
• Serife Eti, MD
• Diana A Falick, MA

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Ny, NY
• Providers in Ny, NY by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.