Active NPI
Jodie Deignan, NPP, PMHNP-BC, MT-BC
- Psychiatric/Mental Health Nurse Practitioner
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401321
- Practice address
- 180 S Broadway Ste 301a
White Plains, NY 10605-1820 - Phone
- (914) 216-7550
- Fax
- (412) 900-1132
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 6309491 | NY | |
| Music Therapist | 225A00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12.010154 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2351852 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401321 | NY | Primary |
Addresses
Primary practice location
180 S Broadway Ste 301a
White Plains, NY 10605-1820
Mailing address
55 McKinley Ave Apt DG-8
White Plains, NY 10606-1659
Phone (508) 317-2486
Other practice location 1
13 Steeple St Ste 202
Mashpee, MA 02649-3287
Phone (914) 216-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Yale University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
13 Steeple St
Suite 202
Mashpee, MA 02649-3287
Phone (914) 216-7550
180 S Broadway
Suite 301a
White Plains, NY 10605-1857
Phone (914) 216-7550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6309491 | NY | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| 12.010154 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Julia Dyckman Andrus Memorial, Inc. | Current | Accepting new patients | |
| Jodie Deignan Nurse Practitioner in Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
13 Steeple St
Ste 202
Mashpee, MA 02649
Phone (508) 562-7390
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
180 S Broadway
Ste 301A
White Plains, NY 10605
Phone (914) 216-7550
19 Greenridge Ave
White Plains, NY 10605
Phone (914) 949-7680
50 Main St
Ste 1000
White Plains, NY 10606
Phone (914) 216-7550
1156 N Broadway
Yonkers, NY 10701
Phone (914) 965-3700
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- White Plains, NY
- NPI 1295353266
MA
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1285628552
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1760436190
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1831330182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1770614745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MCKINLEY AVE APT DG-8",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106061659",
"telephone_number": "508-317-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 S BROADWAY STE 301A",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051820",
"telephone_number": "914-216-7550",
"fax_number": "412-900-1132"
}
],
"practiceLocations": [
{
"address_1": "13 Steeple St Ste 202",
"address_purpose": "LOCATION",
"city": "Mashpee",
"state": "MA",
"postal_code": "026493287",
"country_code": "US",
"telephone_number": "914-216-7550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEIGNAN",
"first_name": "JODIE",
"credential": "NPP, PMHNP-BC, MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NY",
"license": "6309491",
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "12.010154",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2351852",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.