Adam Denault, PMHNP

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · East Rochester, NY

NPI 1487348371 · NPPES record last updated Jun 5, 2023

Key facts

NPI
1487348371
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
F404966-01 (NY)
Practice address
200 Fairport Rd
East Rochester, NY 14445-1906
Phone
(585) 524-0008
NPI assigned
Jun 5, 2023
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
F404966-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Wellness Services, Licensed Mental Health Counselor P.C. Current
since Jun 11, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404966-01 NY Yes

Addresses

Primary practice location

200 Fairport Rd
East Rochester, NY 14445-1906

Mailing address

1520 Osburn LN
Farmington, NY 14425-8825
Phone (607) 742-1366

Other providers in East Rochester, NY

All providers in East Rochester, NY · Psychiatric/Mental Health Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.