Active NPI
Joann Paoletti, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402621
- Practice address
- 463 Fashion Ave FL 17
New York, NY 10018-7595 - Phone
- (917) 408-1668
- NPI assigned
- Jan 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 413173-1 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402621 | NY | Primary |
Addresses
Primary practice location
463 Fashion Ave FL 17
New York, NY 10018-7595
Mailing address
77 Chicago Ave
Staten Island, NY 10305-3757
Phone (718) 442-7828
Other practice location 1
77 Chicago Ave
Staten Island, NY 10305-3757
Phone (718) 442-7828
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
149 Glenwood Ave
Staten Island, NY 10301-4025
Phone (845) 669-7060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 413173-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Adult Institute, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| National Neighborhood Counseling Center Inc | Current | Accepting new patients | |
| Century Medical & Dental Center Inc | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Joann Paoletti PHD Psychiatric Nurse Practitioner PLLC | Current | Accepting new patients | |
| Suny Downstate Medical Center | Past | Accepting new patients |
Locations
21111 Northern Blvd
#13292
Bayside, NY 11361
Phone (718) 705-1000
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988
7701 13th Ave
Brooklyn, NY 11228
Phone (718) 232-1351
200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399
260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
Organizations & group practices 7
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.
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Clinic/Center
- Staten Island, NY
- NPI 1912627548
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1457352098
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1760436190
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1831330182
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1144314576
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1164969226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 CHICAGO AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053757",
"telephone_number": "718-442-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 FASHION AVE FL 17",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187595",
"telephone_number": "917-408-1668"
}
],
"practiceLocations": [
{
"address_1": "77 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103053757",
"country_code": "US",
"telephone_number": "718-442-7828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAOLETTI",
"first_name": "JOANN",
"name_prefix": "Dr.",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "413173-1",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.