Active NPI
Annette Jarrett-Graham
- Psychiatric/Mental Health Nurse Practitioner
- Melville, NY
National Provider Identifier
1154182103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ANNETTE JARRETT-GRAHAM
- Practice address
- 200 Broadhollow Rd
Melville, NY 11747-4846 - Phone
- (516) 817-7677
- Fax
- (319) 220-3015
- NPI assigned
- Jan 17, 2024
- Organization subpart
- Yes
- Parent organization
- ANNETTE JARRETT-GRAHAM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annette Jarrett-Graham, NP
- Title
- Owner
- Phone
- (516) 817-7677
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
200 Broadhollow Rd
Melville, NY 11747-4846
Mailing address
200 Broadhollow Rd
Melville, NY 11747-4846
Phone (516) 817-7677
National Provider Directory
National Provider Directory- Part of
- Annette Jarrett-Graham
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1669915203
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705449600000",
"number": "1154182103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474846",
"telephone_number": "516-817-7677",
"fax_number": "319-220-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474846",
"telephone_number": "516-817-7677",
"fax_number": "319-220-3015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNETTE JARRETT-GRAHAM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANNETTE JARRETT-GRAHAM",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A",
"authorized_official_last_name": "JARRETT-GRAHAM",
"authorized_official_first_name": "ANNETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-817-7677",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.