Raisha Massari Ortiz, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11022645 Issued in FL

Practice address

400 Fort Hill Ave
Canandaigua, NY 14424-1159

Phone

(585) 394-2000

NPI assigned

Apr 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Monarch Psychiatric NP PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1063020956
  NPD (past)

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1306429006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E SHERMAN HOLLOW RD",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145279306",
            "telephone_number": "787-479-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FORT HILL AVE",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241159",
            "telephone_number": "585-394-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARI ORTIZ",
        "first_name": "RAISHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "077148",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11022645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Marion, LCSW
• Theresa Markin Dey, PSY.D
• Justin J Martin Jr., DDS
• Sarah Guinavere Martyn, LCSW, CASAC
• Carol Draper Marx
• Sarah Mast, RN
• Thankamma Mathew, M.D.
• Meredith Susan Matson, LPN
• Skyler Matthews, DPT
• Anna Marie Mault, RN

• Psychiatric/Mental Health Nurse Practitioner in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• 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 Dec 29, 2022; 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.