Active NPI
Feliciana Erminia Montalico Juli
- Psychiatric/Mental Health Nurse Practitioner
- Newburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403732
- Practice address
- 147 Lake St
Newburgh, NY 12550-5263 - Phone
- (845) 563-8000
- NPI assigned
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP027075 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403732 | NY | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN03254 | RI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01190700 | NJ |
Addresses
Primary practice location
147 Lake St
Newburgh, NY 12550-5263
Mailing address
2570 Route 9W Ste 10
Cornwall, NY 12518-1370
Phone (845) 220-3100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Broadway
Newburgh, NY 12550-5514
Phone (845) 569-8412
147 Lake St
Newburgh, NY 12550-5263
Phone (845) 563-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01190700 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP027075 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Family Healthcare | Current | Accepting new patients | |
| Cornerstone Family Healthcare | Current | Accepting new patients |
Locations
275 Chenango St
Binghamton, NY 13901
Phone (607) 201-1204
2570 US Highway 9W
Ste 10
Cornwall, NY 12518
Phone (845) 220-3100
10 Benton Ave
Middletown, NY 10940
Phone (845) 343-0881
14 Grove St
Middletown, NY 10940
Phone (845) 342-6601
260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648
147 Lake St
Newburgh, NY 12550
Phone (845) 416-4325
99 Cameron St
Pine Bush, NY 12566
Phone (845) 744-2067
140 Hammond St
Port Jervis, NY 12771
Phone (845) 858-2854
24 Old Fire House Rd
Wallkill, NY 12589
Phone (845) 393-6015
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGCECD
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Newburgh, NY
- NPI 1689669079
-
- Federally Qualified Health Center (FQHC)
- Newburgh, NY
- NPI 1114757515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1861158784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 ROUTE 9W STE 10",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181370",
"telephone_number": "845-220-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 LAKE ST",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505263",
"telephone_number": "845-563-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALICO JULI",
"first_name": "FELICIANA",
"middle_name": "ERMINIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP027075",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403732",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN03254",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01190700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.