Active NPI
Lets Talk Wellness Counseling Psychiatric NP Services
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, NY
National Provider Identifier
1295442697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LETS TALK WELLNESS COUNSELING PSYCHIATRIC NP SERVICES
- Practice address
- 131 Wickham Ave
Middletown, NY 10940-3714 - Phone
- (347) 908-2797
- NPI assigned
- Nov 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaniqua N Wilson
- Title
- Psychiatric Nurse Practitioner
- Phone
- (917) 417-4649
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
131 Wickham Ave
Middletown, NY 10940-3714
Mailing address
131 Wickham Ave
Middletown, NY 10940-3714
Phone (347) 908-2797
National Provider Directory
National Provider DirectoryLocations
131 Wickham Ave
Middletown, NY 10940
Phone (347) 908-2797
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Poughkeepsie, NY
- NPI 1588150593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1295442697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 WICKHAM AVE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109403714",
"telephone_number": "347-908-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 WICKHAM AVE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109403714",
"telephone_number": "347-908-2797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LETS TALK WELLNESS COUNSELING PSYCHIATRIC NP SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-04",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "SHANIQUA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "917-417-4649"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.