Constance Defreest Psychiatric Nurse Practitioner PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CONSTANCE DEFREEST PSYCHIATRIC NURSE PRACTITIONER PLLC

Practice address

1285 Route 9
Suite 7B
Wappingers Falls, NY 12590-4993

Phone

(845) 632-2939

Fax

(845) 632-2940

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Constance Defreest, NP PNPI 1154550127

Title

Owner

Phone

(845) 632-2939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constance Defreest, M.S., N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Wappingers Falls, NY
  • NPI 1154550127
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1982071890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 ROUTE 9",
            "address_2": "SUITE 7B",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904993",
            "telephone_number": "845-632-2939",
            "fax_number": "845-632-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 ROUTE 9",
            "address_2": "SUITE 7B",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904993",
            "telephone_number": "845-632-2939",
            "fax_number": "845-632-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCE DEFREEST PSYCHIATRIC NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "DEFREEST",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-632-2939",
        "authorized_official_credential": "NP P"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charisse Colvin, M.D.
• Robert Anthony Conca, DMD
• Anna Conklin, CCC-SLP
• Connected Home Care LLC
• Jennifer Lee Connolly, M.S.
• Mary E. Corbin, M.S., C.C.C.-S.L.P.
• Bobbi Lee Corrow, R.N.
• Carli Cosgrove, RN
• Falisia Cotten
• Chrissaida Crawford

• Psychiatric/Mental Health Nurse Practitioner in Wappingers Falls, NY
• Providers in Wappingers Falls, 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 Dec 8, 2015; 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.