MS. JOELLEN ANDERSON NP
NPI 1295869055
Nurse Practitioner - Psychiatric/Mental Health in Patchogue, NY

Active since March 15, 2007
4 PHYLLIS DR, STE H, PATCHOGUE, NY 11772(631) 447-7560(631) 774-7561 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Joellen Anderson Np NPPES

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

MS. JOELLEN ANDERSON NP (NPI 1295869055) is an individual psychiatric/mental health provider in Patchogue, New York, licensed in New York (F400410) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1295869055
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JOELLEN ANDERSONCredential: NP
Location Address4 PHYLLIS DR, STE HPatchogue, NY 11772-2900
Mailing Address1400 Dewey AveNorth Bellmore, NY 11710-2131 · (516) 783-1947
Fax(631) 774-7561
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1295869055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F400410
4 PHYLLIS DR, Patchogue, NY 11772

Other Identifiers 3

Other7482405NY · Value Options
Medicare ID-Type Unspecified96V141NY
Other164773NY · Value Options Gov't

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4 PHYLLIS DR, SUITE A-1
EAST PATCHOGUE, NY 11772
Podiatrist (Foot & Ankle Surgery)
4 PHYLLIS DR
PATCHOGUE, NY 11772
Surgery
4 PHYLLIS DR, SUITE B
PATCHOGUE, NY 11772
Counselor (Mental Health)
4 PHYLLIS DR
PATCHOGUE, NY 11772
Podiatrist
4 PHYLLIS DR, SUITE A3
PATCHOGUE, NY 11772
Surgery
4 PHYLLIS DR, SUITE B
PATCHOGUE, NY 11772
Clinic/Center (VA)
4 PHYLLIS DR
PATCHOGUE, NY 11772
Podiatrist (Primary Podiatric Medicine)
4 PHYLLIS DR, SUITE A
PATCHOGUE, NY 11772

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 Joellen Anderson's NPI number?

The NPI number for Joellen Anderson is 1295869055. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Joellen Anderson located?

Joellen Anderson practices at 4 Phyllis Dr Ste H, Patchogue, NY 11772. The listed phone number is (631) 447-7560.

What is Joellen Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Joellen Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.