Active NPI
Amy Berretta, FNP-C, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- New City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 404583
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F340057 | Other | NY | LICENSE |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 404583 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Medical PC | Current | Accepting new patients | |
| Middletown Medical PC | Current | 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
- 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.
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1902855828
-
- Psychiatry Physician
- New City, NY
- NPI 1902279805
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1205840055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.