Marie Grace Sanchez Jacildo

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

734882 Issued in NY

Practice address

211 JB Wise Plaza
Watertown, NY 13601-1360

Phone

(315) 788-7430

Fax

(315) 785-5637

NPI assigned

Jan 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Children'S Home of Jefferson County

  • Community/Behavioral Health Agency
  • Watertown, NY
  • NPI 1538455696
  NPD
• Children'S Home of Jefferson County

  • Case Management Agency
  • Watertown, NY
  • NPI 1770625527
  NPD

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1346830262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6550",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016550",
            "telephone_number": "315-788-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 JB WISE PLAZA",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011360",
            "telephone_number": "315-788-7430",
            "fax_number": "315-785-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACILDO",
        "first_name": "MARIE GRACE",
        "middle_name": "SANCHEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "734882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Physical Therapy Solutions PC
• Internal Medicine of Northern New York
• Heather Irobunda, M.D.
• Jeannine Ison, RN
• Itagegnehou Gedamu DMD PLLC
• Arielle Lashay Jackson
• Nicolas Jaeggi, MD
• Akshat Jain, MD
• Christian Jakobsen
• Sophie Jakovich, O.T.

• Psychiatric/Mental Health Registered Nurse in Watertown, NY
• Providers in Watertown, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.