TREE OF LIFE BEHAVIORAL HEALTH SERVICES PSYCHIATRIC NP, PC
NPI 1285079137
Clinic/Center - Adolescent and Children Mental Health in Watertown, NY

Active since May 06, 2013
215 WASHINGTON ST, SUITE 221, WATERTOWN, NY 13601(315) 286-0127 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About TREE OF LIFE BEHAVIORAL HEALTH SERVICES PSYCHIATRIC NP, PC

This page provides the complete NPI Profile along with additional information for Tree Of Life Behavioral Health Services Psychiatric Np, Pc, a provider established in Watertown, New York operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1285079137 assigned on May 2013. The practitioner's primary taxonomy code is 261QM0855X with license number 7905039 (NY). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mrs. Anne Jeannette Nans Pnp Fpmhnp (Ceo)

NPI
1285079137 Verify this NPI
Provider Name
TREE OF LIFE BEHAVIORAL HEALTH SERVICES PSYCHIATRIC NP, PC
Entity Type
Organization
Location Address
215 WASHINGTON ST SUITE 221 WATERTOWN, NY 13601
Location Phone
(315) 286-0127
Mailing Address
215 WASHINGTON ST STE 102 WATERTOWN, NY 13601
Mailing Phone
(315) 286-0127
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2013
Last Update Date
03-14-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License No.
7905039
License State
NY
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ANNE JEANNETTE NANS PNP FPMHNP

Authorized Official Title
CEO
Authorized Official Phone
(315) 286-0127

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
03410015MEDICAID (05)NY 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dietitian, Registered
215 WASHINGTON ST, SUITE 108
WATERTOWN, NY 13601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285079137, enumerated as an "organization" on May 06, 2013.

The provider is located at 215 WASHINGTON ST SUITE 221 WATERTOWN, NY 13601 and the phone number is (315) 286-0127.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.