Trissa Jayne Adams, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Ellenville, NY
NPI 1598147258 · NPPES record last updated Jul 13, 2015
Key facts
- NPI
- 1598147258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 40 401854 (NY)
- Practice address
- 6 Healthy Way
Ellenville, NY 12428-5612 - Phone
- (845) 647-4500
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Green NP in Adult Health PLLC
Practice addresses (Care Compare)
1 Bushwick Rd
Suite C
Poughkeepsie, NY 12603-3839
Phone (845) 579-3435
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160621000480 | NY | Practitioner - Nurse Practitioner | 6901197086 |
Reassigns benefits to 2 organizations Practice locations: Kingston, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40 401854 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access: Supports for Living Inc | Current |
Accepting new patients | |
| Access: Supports for Living Inc. | Current |
Accepting new patients | |
| Green NP in Adult Health PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Healthy Minds Counseling Services LCSW PLLC | Past |
Accepting new patients | |
| Tabitha Sieloff LCSW PLLC | Past | Accepting new patients |
Locations
67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850
1 Bushwick Rd
Ste C
Poughkeepsie, NY 12603
Phone (845) 579-3435
15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 40 401854 | NY | Yes |
Addresses
Primary practice location
6 Healthy Way
Ellenville, NY 12428-5612
Mailing address
160 Sawdust Ave
Kingston, NY 12401-8444
Phone (845) 240-2162
Other providers in Ellenville, NY
- Adirondack Emergency Medicine, PC
- Tashana Aldeus
- Christina Ranae Alfonso
- Aissa Ali
- Arthur Lukoff DPM PC
All providers in Ellenville, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.