Annette Jarrett-Graham NP in Psychiatry PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ANNETTE JARRETT-GRAHAM NP IN PSYCHIATRY PC

Practice address

200 Broadhollow Rd
Melville, NY 11747-4846

Phone

(516) 817-7677

Fax

(319) 220-3015

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Annette Jarrett-Graham, NPNPI 1669915203

Title

Owner

Phone

(516) 817-7677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annette Jarrett-Graham, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1669915203
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1801659370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MICHAEL F ST",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601232",
            "telephone_number": "516-817-7677",
            "fax_number": "319-220-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474846",
            "telephone_number": "516-817-7677",
            "fax_number": "319-220-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE JARRETT-GRAHAM NP IN PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "JARRETT-GRAHAM",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-817-7677",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Althea E Anglin
• Bonnie Anglin
• John Patrick Anglum
• Michael Joseph Annarella, CRNA
• Annette Jarrett-Graham
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• Amber Anthony
• Maria Antico
• Rondell Antoine
• Megan Aplustille, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Melville, NY
• Providers in Melville, 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 Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.