Active NPI
Carla Luna Williams
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F402311-1
- Practice address
- 248 W 35TH St
New York, NY 10001-2505 - Phone
- (718) 681-8700
- NPI assigned
- Dec 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F402311-1 | NY | Primary |
Addresses
Primary practice location
248 W 35TH St
New York, NY 10001-2505
Mailing address
20 Genoa St
West Babylon, NY 11704-1728
Phone (631) 943-3352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800
1200 Brown St
Peekskill, NY 10566-2913
3360 Route 343
Amenia, NY 12501-5619
Phone (845) 838-7038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F402311-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| New Horizon Counseling Center Inc | Current | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
6 Henry St
Beacon, NY 12508
Phone (845) 831-0400
803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700
445 Oak St
Copiague, NY 11726
Phone (631) 257-5173
10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202
50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 872-9698
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1992211577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GENOA ST",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117041728",
"telephone_number": "631-943-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 W 35TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012505",
"telephone_number": "718-681-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CARLA",
"middle_name": "LUNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F402311-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.