Organization Active NPI

Valins Nurse Practitioner Psychiatry, PLLC

Doing business as Julie Valins, NPP

  • Nurse Practitioner
  • Bethpage, NY
National Provider Identifier
1366838419
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F400558 Issued in NY
Legal business name
VALINS NURSE PRACTITIONER PSYCHIATRY, PLLC
Doing business as
Julie Valins, NPP
Practice address
29 Elizabeth Drive
Bethpage, NY 11714-6022
Phone
(516) 459-6639
Fax
(516) 224-3799
NPI assigned
Apr 15, 2015
Organization subpart
Yes
Parent organization
VALINS NURSE PRACTITIONER PSYCHIATRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Miss Anne T Persaud
Title
Biller
Phone
(631) 399-9859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X F400558 NY Primary

Addresses

Primary practice location

29 Elizabeth Drive
Bethpage, NY 11714-6022

Mailing address

29 Elizabeth Drive
Bethpage, NY 11714-6022
Phone (516) 459-6639

Other names 1

  • Julie Valins, NPP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150721000135 NY Part B Supplier - Clinic/Group Practice 6103139118 Receives reassigned benefits from 1 practitioner
Practice locations: Bethpage, NY

National Provider Directory

National Provider Directory
Part of
Valins Nurse Practitioner Psychiatry PLLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1366838419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ELIZABETH DRIVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117146022",
            "telephone_number": "516-459-6639",
            "fax_number": "516-224-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ELIZABETH DRIVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117146022",
            "telephone_number": "516-459-6639",
            "fax_number": "516-224-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALINS NURSE PRACTITIONER PSYCHIATRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALINS NURSE PRACTITIONER PSYCHIATRY, PLLC",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "631-399-9859",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F400558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julie Valins, NPP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.