Janine Desimone, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

40 401937 Issued in NY

Practice address

47 Route 25a
Setauket, NY 11733-2881

Phone

(631) 780-4103

Fax

(631) 250-9215

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

Yes

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.

• Suffolk Psychiatric NP Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Smithtown, NY
  • NPI 1316678535
  Medicare reassignment NPD Authorized official NY · PSYCHIATRIC/MENTAL HEALTH
• Phoenix Nurse Practitioners in Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Smithtown, NY
  • NPI 1396607040
  NPD Authorized official PSYCHIATRIC/MENTAL HEALTH

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2022.

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1306249735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BRASSWOOD RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803411",
            "telephone_number": "631-921-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ROUTE 25A",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332881",
            "telephone_number": "631-780-4103",
            "fax_number": "631-250-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "JANINE",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40 401937",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "475699-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Thomas Danielson, LMSW
• Rachel B Davis, M.D.
• Sarah Elizabeth Davis
• Amy Lauren Demarco, M.D.
• Zach Depaulis, CASAC-T
• Rajiv Singh Dhadwal, R.PH., PHARM. D
• Lana Dhamija, PA-C
• Christine Ann Digennaro, LMFT
• Tara B. C. Dill, PH. D.
• Susan Marie Dimech

• All providers in Setauket, NY
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.