Individual provider Active NPI

Stephanie Carletta, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsford, NY
National Provider Identifier
1649822123
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402749 Issued in NY
Practice address
135 Sullys TRL Ste 12
Pittsford, NY 14534-4564
Phone
(585) 204-0066
Fax
(408) 413-0466
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 Nurse Practitioner 363LP0808X 402749 NY Primary

Addresses

Primary practice location

135 Sullys TRL Ste 12
Pittsford, NY 14534-4564

Mailing address

135 Sullys TRL Ste 12
Pittsford, NY 14534-4564
Phone (585) 204-0066

Other practice location 1

661 Yardley Ct
Webster, NY 14580-9458
Phone (585) 204-0066

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
402749NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Carletta Nurse Practitioner in Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Sep 8, 2024 Accepting new patients

Locations

56 N Main St
Pittsford, NY 14534
Phone (585) 406-1130

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1649822123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SULLYS TRL STE 12",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344564",
            "telephone_number": "585-204-0066",
            "fax_number": "408-413-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SULLYS TRL STE 12",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344564",
            "telephone_number": "585-204-0066",
            "fax_number": "408-413-0466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 Yardley Ct",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145809458",
            "country_code": "US",
            "telephone_number": "585-204-0066",
            "fax_number": "408-413-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLETTA",
        "first_name": "STEPHANIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.