Individual provider Active NPI

Wilman Antonio Navarreto, MSN, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1801231253
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401568 Issued in NY
Practice address
300 W 145TH St
TH 5
New York, NY 10039-3142
Phone
(347) 385-1454
NPI assigned
Apr 29, 2013
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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 F401568 NY Primary

Addresses

Primary practice location

300 W 145TH St
TH 5
New York, NY 10039-3142

Mailing address

300 W 145TH St
TH 5
New York, NY 10039-3142
Phone (347) 385-1454

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131217000376 NY Practitioner - Nurse Practitioner 7315174489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F401568NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rego Park Counseling LLC CurrentSince May 1, 2023 Accepting new patients
Rego Park Counseling LLC Current Accepting new patients
Rego Park Counseling LLC CurrentSince May 1, 2023 Accepting new patients

Locations

504 Livonia Ave
Brooklyn, NY 11207
Phone (347) 796-1777

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1801231253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 145TH ST",
            "address_2": "TH 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393142",
            "telephone_number": "347-385-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 145TH ST",
            "address_2": "TH 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393142",
            "telephone_number": "347-385-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRETO",
        "first_name": "WILMAN",
        "middle_name": "ANTONIO",
        "credential": "MSN, RN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.