Organization Active NPI

Elizabeth Piccolo NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New City, NY
National Provider Identifier
1902391774
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401153 Issued in NY
Legal business name
ELIZABETH PICCOLO NP IN PSYCHIATRY PLLC
Practice address
151 S Main St Ste 306
New City, NY 10956-3544
Phone
(845) 639-0000
Fax
(845) 499-2537
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Ms. Elizabeth Piccolo, PMHNP-BC
Title
Psychiatric Mental Health NP
Phone
(845) 639-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X 401153 NY Primary

Addresses

Primary practice location

151 S Main St Ste 306
New City, NY 10956-3544

Mailing address

151 S Main St Ste 306
New City, NY 10956-3544
Phone (845) 639-0000

National Provider Directory

National Provider Directory

Locations

151 S Main St
Ste 306
New City, NY 10956
Phone (845) 624-1994

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1902391774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S MAIN ST STE 306",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563544",
            "telephone_number": "845-639-0000",
            "fax_number": "845-499-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S MAIN ST STE 306",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563544",
            "telephone_number": "845-639-0000",
            "fax_number": "845-499-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH PICCOLO NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "PICCOLO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NP",
        "authorized_official_telephone_number": "845-639-0000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.