Trudy-Ann Sareta Copperfield

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

726651-01 Issued in NY

Practice address

50 W Hawthorne Ave FL 2
Valley Stream, NY 11580-6223

Phone

(718) 845-2621

NPI assigned

Feb 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Jason Diana LCSW

  • Clinical Social Worker
  • Brookville, NY
  • NPI 1942807276
  NPD (past)

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1568160976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17416 MURDOCK AVE # 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341315",
            "telephone_number": "347-869-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W HAWTHORNE AVE FL 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806223",
            "telephone_number": "718-845-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPERFIELD",
        "first_name": "TRUDY-ANN",
        "middle_name": "SARETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "726651-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Psychological Services of Ny PC
• Lynn Constantinopoli, LMSW
• Constellation Home Based Therapy LLC
• Constractor
• Cope Psychological Counseling PLLC
• Corcoran Medical Rehabilitation PC
• Patrick Corcoran, MD
• Corewell Medex LLC
• Pamala Corley
• Robert Cornell

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Child & Adolescent 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 Feb 16, 2023; 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.