Individual provider Active NPI

Janette Marisa Albarracin, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1982913034
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP3802 Issued in AZ
Practice address
1300 N Central Ave
Phoenix, AZ 85004-1722
Phone
(866) 633-3700
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP3802 AZ Primary

Addresses

Primary practice location

1300 N Central Ave
Phoenix, AZ 85004-1722

Mailing address

252 Clark Ave
Rochester, NY 14609-1145
Phone (917) 334-0758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20111005000923 AZ Practitioner - Nurse Practitioner 9638341175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges Inc 106 clinicians

Practice addresses (Care Compare)

2770 E Van Buren St
Phoenix, AZ 85008-6088
Phone (602) 273-9999

554 -1 S Bellview
RM a
Mesa, AZ 85204-2504
Phone (480) 461-1711

560 S Bellview
Mesa, AZ 85204-2504
Phone (480) 962-7711

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc CurrentSince Aug 29, 2011 Accepting new patients
Community Bridges, Inc. CurrentSince Aug 29, 2011 Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. PastSince Jul 17, 2022 Accepting new patients
Lifespan Behavioral Health, LLC PastSince Feb 1, 2009 Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. PastSince Jun 21, 2022 Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 108
Avondale, AZ 85323
Phone (602) 907-6520

824 N 99th Ave
Ste 105
Avondale, AZ 85323
Phone (602) 545-8247

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

824 N 99th Ave
Ste 109
Avondale, AZ 85323
Phone (623) 907-1457

675 E Cottonwood Ln
Ste 140
Casa Grande, AZ 85122
Phone (520) 426-0088

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

460 N Mesa Dr
Ste 201
Mesa, AZ 85201
Phone (480) 838-5550

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

2770 E Van Buren St
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Rm A
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Ste Abd
Phoenix, AZ 85008

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste 110
Tucson, AZ 85701
Phone (520) 323-1212

2950 N Dodge Blvd
Tucson, AZ 85716
Phone (520) 327-9863

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: janette.albarracinnp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 11

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": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1982913034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CLARK AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091145",
            "telephone_number": "917-334-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041722",
            "telephone_number": "866-633-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBARRACIN",
        "first_name": "JANETTE",
        "middle_name": "MARISA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP3802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.