Organization Active NPI

Petal Psychiatry, NP, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Penfield, NY
National Provider Identifier
1629925383
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PETAL PSYCHIATRY, NP, PLLC
Practice address
481 Penbrooke Dr Ste 6
Penfield, NY 14526-2044
Phone
(585) 606-3083
Fax
(585) 364-0100
NPI assigned
Mar 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Brittney Selim, PMHNP-BCNPI 1891370714
Title
Psychiatric Nurse Practitioner
Phone
(585) 290-7847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

481 Penbrooke Dr Ste 6
Penfield, NY 14526-2044

Mailing address

481 Penbrooke Dr Ste 6
Penfield, NY 14526-2044
Phone (585) 606-3083

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1629925383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 PENBROOKE DR STE 6",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262044",
            "telephone_number": "585-606-3083",
            "fax_number": "585-364-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 PENBROOKE DR STE 6",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262044",
            "telephone_number": "585-606-3083",
            "fax_number": "585-364-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETAL PSYCHIATRY, NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "SELIM",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "585-290-7847",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.