Organization Active NPI

Denn'S Room Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1275360950
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DENN'S ROOM PSYCHIATRY
Practice address
1250 Broadway FL 36
New York, NY 10001-3709
Phone
(347) 201-0611
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Gaelle Dennery, PMHNP
Title
Owner
Phone
(472) 010-6113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1250 Broadway FL 36
New York, NY 10001-3709

Mailing address

338 Van Nostrand Ave
Jersey City, NJ 07305-1309
Phone (347) 201-0611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1275360950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 VAN NOSTRAND AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051309",
            "telephone_number": "347-201-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BROADWAY FL 36",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013709",
            "telephone_number": "347-201-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENN'S ROOM PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "DENNERY",
        "authorized_official_first_name": "GAELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "472-010-6113",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Sep 17, 2024; 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.