Geraldine A Abbatiello, PHD, GNP, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Chappaqua, NY
NPI 1235314352 · NPPES record last updated Aug 20, 2008
Key facts
- NPI
- 1235314352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 40 400749 (NY)
- Practice address
- 1 S Greeley Ave
Chappaqua, NY 10514-3346 - Phone
- (914) 238-0045
- NPI assigned
- Jan 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340153 | NY | MD | Licensed Practical Nurse |
| F340153 | NY | MD | Gerontology Nurse Practitioner |
| 40 400749 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F340153 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 40 400749 | NY | Yes |
Addresses
Primary practice location
1 S Greeley Ave
Chappaqua, NY 10514-3346
Mailing address
12 Sheridan Dr
Pawling, NY 12564-1031
Phone (845) 855-1508
Other providers in Chappaqua, NY
All providers in Chappaqua, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.