Individual provider Active NPI

Wendy Jo Garrett, NP, PMHNP

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • West Henrietta, NY
National Provider Identifier
1922480185
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X
License
F401888 Issued in NY
Practice address
Henrietta Psychiatric NP Care PLLC
250B Lucius Gordon Drive Suite 4B
West Henrietta, NY 14586
Phone
(585) 664-5248
Fax
(866) 557-9530
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 571391 NY
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist 364SP0810X F401888 NY Primary

Addresses

Primary practice location

Henrietta Psychiatric NP Care PLLC
250B Lucius Gordon Drive Suite 4B
West Henrietta, NY 14586

Mailing address

250B Lucius Gordon Drive Suite 4B
West Henrietta, NY 14586
Phone (585) 664-5248

Other identifiers 1

IdentifierTypeStateIssuer
04200735MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160819001327 NY Practitioner - Nurse Practitioner 8820383540 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
571391NYMDPsychiatric/Mental Health Registered Nurse
F401888NYMDChild & Family Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Varallo MD PLLC CurrentSince Mar 1, 2017 Accepting new patients
Trillium Health, Inc CurrentSince Jun 8, 2016 Accepting new patients
Henrietta Psychiatric NP Care, PLLC CurrentSince Jun 8, 2023 Accepting new patients
Trillium Health, Inc CurrentSince Jun 8, 2016 Accepting new patients
Penfield Psychiatry PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

481 Penbrooke Dr
Ste 6
Penfield, NY 14526
Phone (585) 388-1110

2060 Fairport Nine Mile Point Rd
Ste 400
Penfield, NY 14526
Phone (585) 388-6000

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

250 Lucius Gordon Dr
Ste 4B
West Henrietta, NY 14586
Phone (585) 664-5248

250 Lucius Gordon Dr
Ste 2
West Henrietta, NY 14586
Phone (585) 471-3407

Organizations & group practices 6

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1922480185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250B LUCIUS GORDON DRIVE SUITE 4B",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "14586",
            "telephone_number": "585-664-5248",
            "fax_number": "866-557-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HENRIETTA PSYCHIATRIC NP CARE PLLC",
            "address_2": "250B LUCIUS GORDON DRIVE SUITE 4B",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "14586",
            "telephone_number": "585-664-5248",
            "fax_number": "866-557-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "WENDY",
        "middle_name": "JO",
        "credential": "NP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "571391",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "NY",
            "license": "F401888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04200735",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Henrietta, NY

Sources for this page

Verify at the official NPI Registry.