Antonietta Anna Dalia, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

406152 Issued in NY

Practice address

67 Park Ave Unit One
White Plains, NY 10603

Phone

(845) 392-3267

NPI assigned

Jul 13, 2024

Last updated

Jul 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Antonietta Anna Dalia-Adewunmi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1952148132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 PARK AVE UNIT ONE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10603",
            "telephone_number": "845-392-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 PARK AVE UNIT ONE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10603",
            "telephone_number": "845-392-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALIA",
        "first_name": "ANTONIETTA",
        "middle_name": "ANNA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIETTA",
            "last_name": "DALIA-ADEWUNMI",
            "middle_name": "ANNA",
            "credential": "PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alycia Carrano Dadd, PHD
• Frank John Dahl Jr., DDS
• Dair Melendez-Drier
• Jennifer Dale
• Ethelyn Daley
• Cora Dalton
• David Glennon Daly, LCSW, CASAC, BCD
• Mary Daly
• Virginia Carroll Daly, MD
• Kimberly Damone

• Psychiatric/Mental Health Nurse Practitioner in White Plains, NY
• Providers in White Plains, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.