Active NPI
Wilda Damis-Celinie
- Adult Psychiatric/Mental Health Registered Nurse
- Spring Valley, NY
National Provider Identifier
1346891116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 833868
- Practice address
- 1 Lunney CT
Spring Valley, NY 10977-6071 - Phone
- (845) 200-0534
- NPI assigned
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 330956 | NY | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 833868 | NY | Primary |
Addresses
Primary practice location
1 Lunney CT
Spring Valley, NY 10977-6071
Mailing address
1 Lunney CT Apt 106
Spring Valley, NY 10977-6060
Phone (845) 200-0534
Other practice location 1
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone (845) 680-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 833868 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1346891116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LUNNEY CT APT 106",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109776060",
"telephone_number": "845-200-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LUNNEY CT",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109776071",
"telephone_number": "845-200-0534"
}
],
"practiceLocations": [
{
"address_1": "140 Old Orangeburg Rd",
"address_purpose": "LOCATION",
"city": "Orangeburg",
"state": "NY",
"postal_code": "109621157",
"country_code": "US",
"telephone_number": "845-680-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAMIS-CELINIE",
"first_name": "WILDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "330956",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "833868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.