Individual provider Active NPI

Diana Leblanc Calice

  • Adult Psychiatric/Mental Health Registered Nurse
  • Nanuet, NY
National Provider Identifier
1972974285
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
820561 Issued in NY
Practice address
68 2ND Ave
Apt C
Nanuet, NY 10954-4405
Phone
(845) 536-2545
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 323548 NY
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 820561 NY Primary

Addresses

Primary practice location

68 2ND Ave
Apt C
Nanuet, NY 10954-4405

Mailing address

14 Rowan Dr
Garnerville, NY 10923-1309
Phone (845) 536-2545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
820561NYMDAdult Psychiatric/Mental Health Registered Nurse
323548NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1972974285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ROWAN DR",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231309",
            "telephone_number": "845-536-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 2ND AVE",
            "address_2": "APT C",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109544405",
            "telephone_number": "845-536-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICE",
        "first_name": "DIANA",
        "middle_name": "LEBLANC",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "323548",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "820561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.