Individual provider Active NPI

Amy Berretta, FNP-C, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New City, NY
National Provider Identifier
1497110696
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404583 Issued in NY
Practice address
25 Old Brick Rd
New City, NY 10956-1723
Phone
(845) 825-4686
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340057 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404583 NY Primary

Addresses

Primary practice location

25 Old Brick Rd
New City, NY 10956-1723

Mailing address

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

Other practice location 1

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

Other identifiers 1

IdentifierTypeStateIssuer
F340057OtherNYLICENSE

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
I20160303000596 NY Practitioner - Nurse Practitioner 1052617925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians

Practice addresses (Care Compare)

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
77.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
404583NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Middletown Medical PC CurrentSince Jan 4, 2016 Accepting new patients
Middletown Medical PC CurrentSince Jan 4, 2016 Accepting new patients
New York Community Hospital of Brooklyn, Inc. Past Accepting new patients

Locations

78 Brookside Ave
Chester, NY 10918
Phone (845) 469-7400

78 Brookside Ave
Ste 143
Chester, NY 10918
Phone (845) 469-1200

112 Tops Market Blvd
#209
Ellenville, NY 12428
Phone (845) 647-6700

111 Maltese Dr
Middletown, NY 10940

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

419 E Main St
Middletown, NY 10940
Phone (845) 341-0213

4058 State Route 42
Ste 5
Monticello, NY 12701

100 Pike St
Port Jervis, NY 12771
Phone (845) 856-5396

200 Ronald Reagan Blvd
Warwick, NY 10990
Phone (845) 986-8670

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: amy.berretta@mmpc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1497110696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MALTESE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402115",
            "telephone_number": "845-342-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OLD BRICK RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561723",
            "telephone_number": "845-825-4686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Maltese Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402115",
            "country_code": "US",
            "telephone_number": "845-342-4774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRETTA",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340057",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F340057",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.