Dominique Karenn Petit-Frere, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

406940 Issued in NY

Practice address

220 E 42ND St
New York, NY 10017-5835

Phone

(800) 675-0391

NPI assigned

Apr 14, 2025

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

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1629863063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PIPETOWN HILL RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545959",
            "telephone_number": "845-735-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175835",
            "telephone_number": "800-675-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIT-FRERE",
        "first_name": "DOMINIQUE",
        "middle_name": "KARENN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elder Berry Petilla
• Anthony Louis Petillo, RPH
• Dyjenie Petit del, P.A
• Gaelle Petit Homme, RN
• Pascale Petit-de
• Christine Petit
• Christopher J Petit, MD
• Jorge R Petit, MD
• Kerby Fatima Petit, LMSW
• Meredith Petit, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.