Bernice Ertrachter, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

622077 Issued in NY

Practice address

15 Fortune Rd W
Middletown, NY 10941-1625

Phone

(845) 242-1867

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Access: Supports for Living Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1790326320
  NPD (past)

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1497381248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FORTUNE RD W",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411625",
            "telephone_number": "845-241-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FORTUNE RD W",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411625",
            "telephone_number": "845-242-1867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "NY",
            "postal_code": "125381766",
            "country_code": "US",
            "telephone_number": "845-516-1053",
            "fax_number": "845-516-4454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 County House Rd",
            "address_purpose": "LOCATION",
            "city": "Millbrook",
            "state": "NY",
            "postal_code": "125456178",
            "country_code": "US",
            "telephone_number": "845-605-3542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERTRACHTER",
        "first_name": "BERNICE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "622077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bertrachter@asfl.org",
            "affiliation": "N",
            "endpointDescription": "Bernice Ertrachter email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 Fortune Rd W",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109411625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chibuzo Udoka Enemchukwu
• Irene Eng
• Mattina Engel
• Enlarged Middletown City School District
• Erena Treskova and Co., LLC
• Richard Escano, P.T.
• Howard Michael Eskanazy, D.O.
• Liliana M Espinosa
• Anna-Marissa Estep
• Nicole Estrada, CRPA

• Psychiatric/Mental Health Registered Nurse in Middletown, NY
• Providers in Middletown, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.