Individual provider Active NPI

Jill A. Brabant, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gouverneur, NY
National Provider Identifier
1326120692
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401307-1 Issued in NY
Practice address
28 William St.
Gouverneur, NY 13642-1405
Phone
(315) 287-2811
Fax
(315) 287-4743
NPI assigned
Oct 19, 2006
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003670-1 NY
Mental Health Counselor 101YM0800X 003670 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401307-1 NY Primary

Addresses

Primary practice location

28 William St.
Gouverneur, NY 13642-1405

Mailing address

2634 Capitol Circle NE
Apalachee Center
Tallahassee, FL 32308
Phone (850) 523-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20140825002295 FL Practitioner - Nurse Practitioner 5799754966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apalachee Center IncGroup PAC ID 3577556604, 22 clinicians

Practice addresses (Care Compare)

2634 Capital Circle NE
BLDG J
Tallahassee, FL 32308-4141
Phone (850) 523-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003670-1NYMDMental Health Counselor
003670NYMDAcupuncturist
F401307-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apalachee Center, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Apalachee Center Inc CurrentSince Jul 1, 2014 Accepting new patients
Apalachee Center, Inc. Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Rubenzahl, Knudsen & Associates Psych., Srvcs, P.C. PastSince Jan 1, 2007 Accepting new patients
St. Lawrence Psychiatric Center Past Accepting new patients
St. Lawrence Psychiatric Center Past Accepting new patients
Apalachee Center Inc Past Accepting new patients

Locations

159 12th St
Apalachicola, FL 32320
Phone (850) 653-9744

13888 NW County Road 12
Bristol, FL 32321
Phone (850) 643-2232

43 Oak St
Crawfordville, FL 32327
Phone (850) 926-5900

225 SW Sumatra Ave
Madison, FL 32340
Phone (850) 973-5124

1996 S Jefferson Hwy
Monticello, FL 32344
Phone 8509973958 ext. 7345

1421 S Dixie Hwy
Perry, FL 32348
Phone (850) 584-5613

79 Lasalle Path
Quincy, FL 32351
Phone (850) 875-2422

2634 Capital Cir NE
Bldg C
Tallahassee, FL 32308
Phone (850) 523-3289

2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243

471 W Tennessee St
Tallahassee, FL 32301
Phone (850) 523-3301

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1326120692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 CAPITOL CIRCLE NE",
            "address_2": "APALACHEE CENTER",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-523-3333",
            "fax_number": "850-523-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WILLIAM ST.",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421405",
            "telephone_number": "315-287-2811",
            "fax_number": "315-287-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABANT",
        "first_name": "JILL",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003670-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003670",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401307-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gouverneur, NY

Sources for this page

Verify at the official NPI Registry.