Individual provider Active NPI

Caitlyn La Tronica, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1346998184
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404379 Issued in NY
Practice address
14 Bruckner Blvd
Bronx, NY 10454-4414
Phone
(718) 547-7696
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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 404379 NY Primary

Addresses

Primary practice location

14 Bruckner Blvd
Bronx, NY 10454-4414

Mailing address

1 Morningside Dr Apt 1005
New York, NY 10025-2432
Phone (203) 260-0065

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
I20231002002510 NY Practitioner - Nurse Practitioner 7810341351 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
404379NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Community Living , Inc. CurrentSince Aug 13, 2023 Accepting new patients

Locations

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

1310 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 257-3400

125 Broad St
Fl 3
New York, NY 10004
Phone (510) 857-3927

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1346998184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MORNINGSIDE DR APT 1005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252432",
            "telephone_number": "203-260-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544414",
            "telephone_number": "718-547-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA TRONICA",
        "first_name": "CAITLYN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.