Active NPI
Patricia Billotti, PH.D
- Psychiatric/Mental Health Clinical Nurse Specialist
- Waldwick, NJ
National Provider Identifier
1891918587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 26NC50112
- Practice address
- 71 Franklin Tpke
Suite 1-8
Waldwick, NJ 07463-1851 - Phone
- (201) 447-0951
- NPI assigned
- Apr 11, 2007
- Last updated
- Jul 16, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 26NC50112 | NJ | Primary |
| Psychoanalyst | 102L00000X | 000815 | NY |
Addresses
Primary practice location
71 Franklin Tpke
Suite 1-8
Waldwick, NJ 07463-1851
Mailing address
18 Powder Hill Rd
Saddle River, NJ 07458-3215
Phone (201) 447-0951
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000815 | NY | MD | Marriage & Family Therapist |
| 26NC50112 | NJ | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342396800000",
"number": "1891918587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 POWDER HILL RD",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074583215",
"telephone_number": "201-447-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 FRANKLIN TPKE",
"address_2": "SUITE 1-8",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631851",
"telephone_number": "201-447-0951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLOTTI",
"first_name": "PATRICIA",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2012-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NC50112",
"primary": true
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "000815",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldwick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.