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MERCEDES JULIA DETTRA PMHNP
NPI 1346066859
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since November 30, 2024
111 N 49TH ST, PHILADELPHIA, PA 19139(215) 471-2600 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mercedes Julia Dettra Pmhnp NPPES

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

MERCEDES JULIA DETTRA PMHNP (NPI 1346066859) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP031168) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1346066859
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMERCEDES JULIA DETTRACredential: PMHNP
Location Address111 N 49TH STPhiladelphia, PA 19139-2718
Mailing Address913 S 51st St Apt 4Philadelphia, PA 19143-3260 · (267) 650-5454
Phone(215) 471-2600
Sole ProprietorYes
Enumeration DateNovember 30, 2024
NPPES CertifiedNovember 29, 2024
✔ NPI 1346066859 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 PA · SP031168
111 N 49TH ST, Philadelphia, PA 19139
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. SAMANTHA MEGAN WYCKOFF MD
Psychiatry & Neurology (Addiction Medicine)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2600
PHILADELPHIA HEALTH MANAGEMENT CORP
Clinic/Center (Adult Mental Health)
111 N 49TH ST, 2ND FLOOR
PHILADELPHIA, PA 19139
Philadelphia County (215) 662-8881
CHARLES WALKER
Licensed Practical Nurse
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2866
ALLISON BOATRIGHT DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2600
ERICA M BRENDEL MD PC
Psychiatry & Neurology (Psychiatry)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-1576
MS. BELLA YAMPOLSKY PA-C
Physician Assistant (Medical)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2131
IONA BARGE
Nurse Practitioner (Psychiatric/Mental Health)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (214) 471-2600
CHALA SARGENT MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
111 N 49TH ST, FHC FIRST FLOOR
PHILADELPHIA, PA 19139
Philadelphia County (215) 472-7291

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 Mercedes Dettra's NPI number?

The NPI number for Mercedes Dettra is 1346066859. It was assigned to this individual provider in the NPPES registry on November 30, 2024.

Where is Mercedes Dettra located?

Mercedes Dettra practices at 111 N 49th St, Philadelphia, PA 19139. The listed phone number is (215) 471-2600.

What is Mercedes Dettra'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 Mercedes Dettra was last updated on November 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.