Individual provider Active NPI

Julieann Rose Mauro, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1346107638
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407522 Issued in NY
Practice address
180 E Main St
Smithtown, NY 11787-2888
Phone
(631) 265-6868
Fax
(631) 265-6890
NPI assigned
Jan 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407522 NY Primary

Addresses

Primary practice location

180 E Main St
Smithtown, NY 11787-2888

Mailing address

180 E Main St
Smithtown, NY 11787-2888
Phone (631) 375-7779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260310000810 NY Practitioner - Nurse Practitioner 8628559614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Psychiatric Consultants PCGroup PAC ID 1456240928, 8 clinicians

Practice addresses (Care Compare)

180 E Main St
Suite 302
Smithtown, NY 11787-2811
Phone (631) 265-6868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
407522NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Psychiatric Consultants PC CurrentSince Feb 18, 2026 Accepting new patients

Locations

180 E Main St
Ste 302
Smithtown, NY 11787
Phone (631) 265-6868

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1346107638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872888",
            "telephone_number": "631-375-7779",
            "fax_number": "631-265-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872888",
            "telephone_number": "631-265-6868",
            "fax_number": "631-265-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "JULIEANN",
        "middle_name": "ROSE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.