Individual provider Active NPI

Rashad Janee Previllon, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1851054944
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403760 Issued in NY
Practice address
3010 41St Ave Ste 238
Long Island City, NY 11101-2814
Phone
(347) 947-2665
NPI assigned
Oct 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 403760 NY Primary

Addresses

Primary practice location

3010 41St Ave Ste 238
Long Island City, NY 11101-2814

Mailing address

21503 Jamaica Ave # 1025
Queens Village, NY 11428-1783
Phone (917) 382-1183

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
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rashad Health Consulting Inc Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Premier Quality Home Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Level One Neurosurgery, LLC Single Specialty Current Accepting new patients
Shlomit Levy PastSince Dec 14, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1851054944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21503 JAMAICA AVE # 1025",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281783",
            "telephone_number": "917-382-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 41ST AVE STE 238",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012814",
            "telephone_number": "347-947-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVILLON",
        "first_name": "RASHAD",
        "middle_name": "JANEE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-16",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.