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: October 18, 2026.

About Tree Of Life Behavioral Health Services Psychiatric Np, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREE OF LIFE BEHAVIORAL HEALTH SERVICES PSYCHIATRIC NP, PC (NPI 1285079137) is a healthcare organization registered as an adolescent and children mental health in Watertown, New York and active in the NPI registry since May 2013. The organization lists Anne Jeannette Nans, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285079137
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameTREE OF LIFE BEHAVIORAL HEALTH SERVICES PSYCHIATRIC NP, PC
Location Address215 WASHINGTON ST, SUITE 221Watertown, NY 13601-3329
Mailing Address215 Washington St Ste 102Watertown, NY 13601-3343 · (315) 286-0127
Organization SubpartNo
Authorized OfficialAnne Jeannette NansCeo · (315) 286-0127
Enumeration DateMay 6, 2013
Last NPPES UpdateMarch 14, 2023
NPPES CertifiedMarch 14, 2023
✔ NPI 1285079137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in NY · 7905039
Definition
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.
215 WASHINGTON ST, Watertown, NY 13601

Other Identifiers 1

Medicaid03410015NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tree Of Life Behavioral Health Services Psychiatric Np, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tree Of Life Behavioral Health Services Psychiatric Np, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1558582411
215 WASHINGTON ST STE 221
Watertown, NY 13601
(315) 788-0105
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tree Of Life Behavioral Health Services Psychiatric Np, PC's NPI number?

The NPI number for Tree Of Life Behavioral Health Services Psychiatric Np, PC is 1285079137. It was assigned to this organization in the NPPES registry on May 6, 2013.

Where is Tree Of Life Behavioral Health Services Psychiatric Np, PC located?

Tree Of Life Behavioral Health Services Psychiatric Np, PC is located at 215 Washington St Suite 221, Watertown, NY 13601. The listed phone number is (315) 286-0127.

What is Tree Of Life Behavioral Health Services Psychiatric Np, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Tree Of Life Behavioral Health Services Psychiatric Np, PC enrolled in Medicare?

Yes. Tree Of Life Behavioral Health Services Psychiatric Np, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tree Of Life Behavioral Health Services Psychiatric Np, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tree Of Life Behavioral Health Services Psychiatric Np, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tree Of Life Behavioral Health Services Psychiatric Np, PC was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.