National Provider Identifier
Clover Mental Health Psychiatric Nursing PC
Clover Mental Health Psychiatric Nursing PC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 555-5555.
Profile Overview
- NPI
- 1093510885
- Provider Type
- Organization
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- February 15, 2025
- Last Updated
- February 17, 2025
Practice Location
- 500 Helendale RD Ste 155
- Rochester, NY 14609-3125
Phone: (585) 555-5555
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1093510885
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Clover Mental Health Psychiatric Nursing PC
- Mailing Street Address
- 500 Helendale RD Ste 155
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-3125
- Mailing Country
- US
- Mailing Phone
- (585) 555-5555
- Practice Street Address
- 500 Helendale RD Ste 155
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-3125
- Practice Country
- US
- Practice Phone
- (585) 555-5555
- Enumeration Date
- February 15, 2025
- Last Updated
- February 17, 2025
- Authorized Official Last Name
- Sciarrino
- Authorized Official First Name
- Breanna
- Authorized Official Middle Name
- Taylor
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 555-5555
- Organization Subpart
- No
- Authorized Official Credential Text
- PMHNP
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- February 17, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)