Individual provider Active NPI

James Robert Valinoti, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Holbrook, NY
National Provider Identifier
1245756154
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402182 Issued in NY
Practice address
865 Broadway Ave Apt 72B
Holbrook, NY 11741-4934
Phone
(631) 703-0303
NPI assigned
Aug 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402182 NY Primary

Addresses

Primary practice location

865 Broadway Ave Apt 72B
Holbrook, NY 11741-4934

Mailing address

865 Broadway Ave Apt 72B
Holbrook, NY 11741-4934

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005002054 NY Practitioner - Nurse Practitioner 7315212008 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Telemental Health and Addiction LLC Psychiatric/Mental Health Current Accepting new patients
Penfield Psychiatry PC CurrentSince Jan 1, 2024 Accepting new patients
Outreach Development Corporation CurrentSince Oct 24, 2020 Accepting new patients
Ajay 28 LLC CurrentSince Sep 13, 2023 Accepting new patients

Locations

11 Farber Dr
Bellport, NY 11713
Phone (631) 286-0700

452 Suffolk Ave
Brentwood, NY 11717
Phone (631) 436-6065

6860 Austin St
Ste 10
Forest Hills, NY 11375
Phone (718) 896-4100

2060 Fairport Nine Mile Point Rd
Ste 400
Penfield, NY 14526
Phone (585) 388-6000

481 Penbrooke Dr
Ste 6
Penfield, NY 14526
Phone (585) 388-1110

11711 Myrtle Ave
Richmond Hill, NY 11418
Phone (718) 847-9233

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1245756154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 BROADWAY AVE APT 72B",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 BROADWAY AVE APT 72B",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414934",
            "telephone_number": "631-703-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALINOTI",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

Verify at the official NPI Registry.