Cecelia M Valentin, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F404378-01 Issued in NY

Practice address

550 Montauk Hwy
Shirley, NY 11967-2114

Phone

(631) 490-3044

Fax

(631) 490-3055

NPI assigned

Sep 19, 2022

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

State University of New York at Stony Brook, School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Willow Park Medical Health PCGroup PAC ID 3577085901, 10 clinicians

Aid to the Developmentally Disabled IncGroup PAC ID 1658762182, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aid to the Developmentally Disabled, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverhead, NY
  • NPI 1912575762
  Medicare reassignment Care Compare group NPD
• Willow Park Medical Health PC

  • Multi-Specialty Clinic/Center
  • Glen Head, NY
  • NPI 1063219475
  Medicare reassignment Care Compare group NPD
• Heart & Soul Community Counseling

  • Clinical Social Worker
  • West Babylon, NY
  • NPI 1346223252

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Willow Park Academy LLC

  • Behavior Analyst
  • Stamford, CT
  • NPI 1376407783
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1679295489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LOUISIANA AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064413",
            "telephone_number": "631-681-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MONTAUK HWY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672114",
            "telephone_number": "631-490-3044",
            "fax_number": "631-490-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "CECELIA",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404378-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Rose Ulrich, M.S.
• United Sleep Diagnostics of Shirley LLC
• Natalie Utne, LPN
• Jose Go Uy Jr., PT
• Michael Valenti
• Andrea Van Epps, MA, SLP, C.C.C.
• Meredith Vargas
• Franklin Ventura, LMHC
• Jaclyn M Virgil, MS
• Mary Viscio, RN

• Psychiatric/Mental Health Nurse Practitioner in Shirley, NY
• Providers in Shirley, 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 Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.