Individual provider Active NPI

Gabriella Nancy Parisi, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Teaneck, NJ
National Provider Identifier
1194122572
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01470600 Issued in NJ
Practice address
518 Wyndham Rd
Teaneck, NJ 07666-2612
Phone
(973) 600-5465
Fax
(201) 353-2514
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 319404-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404880 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01470600 NJ Primary

Addresses

Primary practice location

518 Wyndham Rd
Teaneck, NJ 07666-2612

Mailing address

518 Wyndham Rd
Teaneck, NJ 07666-2612
Phone (973) 600-5465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
319404-1NYMDLicensed Practical Nurse
26NJ01470600NJMDPsychiatric/Mental Health Nurse Practitioner
404880NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1194122572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 WYNDHAM RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662612",
            "telephone_number": "973-600-5465",
            "fax_number": "201-353-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 WYNDHAM RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662612",
            "telephone_number": "973-600-5465",
            "fax_number": "201-353-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISI",
        "first_name": "GABRIELLA",
        "middle_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "319404-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404880",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01470600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.