Tania Carchipulla

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

772789 Issued in NY

Practice address

4277 65TH PL
Woodside, NY 11377-5054

Phone

(718) 429-2000

NPI assigned

Aug 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1932755154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9924 34TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681010",
            "telephone_number": "718-200-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 65TH PL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775054",
            "telephone_number": "718-429-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCHIPULLA",
        "first_name": "TANIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "772789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Cameron, LMSW
• Marlene Y, Canelos, OTA
• Emily Sara Caracci, M.S. CCC-SLP, TSSLD
• Garry Joseph Carbone I
• Jaime H Carcamo, PSY.D
• Lilia Cardona, D.D.S.
• Maria Pilar Cardona, OTR
• Cortney Carey
• Mirela Carnaru, D.O.
• Jeffrey Carrasquillo, DMD

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Woodside, NY
• Providers in Woodside, NY by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.