Individual provider Active NPI

Caroline Severe, PMHNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • North Bergen, NJ
National Provider Identifier
1639013741
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
26NR25401500 Issued in NJ
Practice address
7716 Kennedy Blvd Apt 1E
North Bergen, NJ 07047-4181
Phone
(646) 573-6643
NPI assigned
Apr 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 26NR25401500 NJ Primary

Addresses

Primary practice location

7716 Kennedy Blvd Apt 1E
North Bergen, NJ 07047-4181

Mailing address

8947 Pontiac St
Queens Village, NY 11427-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NR25401500NJMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1639013741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8947 PONTIAC ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 KENNEDY BLVD APT 1E",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474181",
            "telephone_number": "646-573-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERE",
        "first_name": "CAROLINE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR25401500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.