Jacqueline Carrasquillo
Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Monticello, NY
NPI 1275396129 · NPPES record last updated Mar 1, 2024
Key facts
- NPI
- 1275396129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
- License
- 746965 (NY)
- Practice address
- 20 Crystal St
Monticello, NY 12701-1380 - Phone
- (845) 790-0911
- NPI assigned
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 746965 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 746965 | NY | Yes |
Addresses
Primary practice location
20 Crystal St
Monticello, NY 12701-1380
Mailing address
20 Crystal St
Monticello, NY 12701-1380
Phone (845) 790-0911
Other providers in Monticello, NY
- Angella Burton
- Mihai Busuioc
- Sarah J Butto
- Kristina L Carraccia
- Elizabeth Carrasquillo
- Rebecca Ilyse Cartmill
- Nicole M Casamassima
- Rodrick Cash Sr.
- Catholic Charities Community Services of Orange County
- Catholic Charities of Orange, Sullivan & Ulster
All providers in Monticello, NY · Adult Psychiatric/Mental Health Registered Nurse 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 Mar 1, 2024. 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.