NPIMap

Organization Active NPI

Joann Paoletti PHD Psychiatric Nurse Practitioner PLLC

  • Clinic/Center
  • Staten Island, NY
National Provider Identifier
1912627548
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JOANN PAOLETTI PHD PSYCHIATRIC NURSE PRACTITIONER PLLC
Practice address
49 Luke CT
Staten Island, NY 10306-1154
Phone
(646) 207-6260
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Joann Paloetti
Title
Owner
Phone
(646) 207-6260

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X

Addresses

Primary practice location

49 Luke CT
Staten Island, NY 10306-1154

Mailing address

49 Luke CT
Staten Island, NY 10306-1154
Phone (646) 207-6260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230109001377 NY Part B Supplier - Clinic/Group Practice 5698145662 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1912627548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LUKE CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061154",
            "telephone_number": "646-207-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LUKE CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061154",
            "telephone_number": "646-207-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANN PAOLETTI PHD PSYCHIATRIC NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "PALOETTI",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-207-6260"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.