Stephanie Boisvert Canal, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN44775 Issued in RI

Practice address

Youth Advocate Programs, Inc 1515 N Front Street
Harrisburg, PA 17102-1815

Phone

(717) 232-3150

Fax

(717) 232-3127

NPI assigned

Apr 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

University of Florida College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alchemy Healthy Minds and Wellness PLLCGroup PAC ID 6709277627, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GHEFCD/Endpoint/GHEFCD

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.

• Alchemy Healthy Minds and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, NC
  • NPI 1740943653
  Medicare reassignment Care Compare group NPD
• Resolutions Counseling and Mediation Services, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1982868501
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255697561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WINDY WAY",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "17070",
            "telephone_number": "401-632-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "YOUTH ADVOCATE PROGRAMS, INC 1515 N FRONT STREET",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171021815",
            "telephone_number": "717-232-3150",
            "fax_number": "717-232-3127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3802 S 700 E",
            "address_2": "SALT LAKE BEHAVIORAL HEALTH",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841061182",
            "country_code": "US",
            "telephone_number": "401-632-6670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANAL",
        "first_name": "STEPHANIE",
        "middle_name": "BOISVERT",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN44775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alise V Campbell, LCSW
• Conner James Campbell, PT, DPT
• Kristen Campbell, OT
• Krystal Denise-Lillian Campbell
• Ryan S Campbell, DPT
• Candid Home Care Inc
• Jennie A Canfield, CRNP
• Kenyatte Zabre Canidate, CRNP
• Jamie L Cantafio, PA-C
• Raul Rene Cantu Hernandez, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.