Jaymien August Gabriel Condoy, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

251478 Issued in AZ

Practice address

8761 E Perry Park Cir
Tucson, AZ 85730-1302

Phone

(520) 999-0613

NPI assigned

Dec 30, 2020

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 AZ

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Codac Health Recovery and WellnessGroup PAC ID 6103813811, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaymien.condoy.p1@direct.codachrw.nextgenshare.com
• Direct secure messaging: jaymien.condoy@mmcodachrw.contexture.medalliesmail.com

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.

• Codac Health Recovery and Wellness

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1033156567
  Medicare reassignment Care Compare group NPD
• Codac Health Recovery and Wellness

  dba CODAC at Speedway

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1649911157
  NPD
• Codac Health, Recovery & Wellness, Inc.

  dba CODAC at Andrew Street

  • Mental Illness Community Based Residential Treatment Facility
  • Tucson, AZ
  • NPI 1750797692
  NPD
• HLGL LLC

  dba Recovery in Motion Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1295120319
  NPD (past)

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1285221648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8761 E PERRY PARK CIR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301302",
            "telephone_number": "520-999-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 E PERRY PARK CIR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301302",
            "telephone_number": "520-999-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDOY",
        "first_name": "JAYMIEN AUGUST",
        "middle_name": "GABRIEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "251478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liana Joy Condello, M.A., LISAC, CCTP
• Paul Condich, M.S.W.
• Brianne Condon
• Ethel Felicia Condon, MD
• Tara Condon
• Alexander Han Min Conezio, DO
• Justine Confino, N.P.
• Christopher Conforti
• Nathan S Conlee, DC
• Michaela Ann Conley, MFT, NBC-HWC

• Psychiatric/Mental Health Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.