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MARYELLEN CARLUCCI
NPI 1528915907
Nurse Practitioner - Psychiatric/Mental Health in Jamestown, NY

Active since March 13, 2026
107 INSTITUTE ST, JAMESTOWN, NY 14701(716) 294-3995(833) 974-2031 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Maryellen Carlucci NPPES

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

MARYELLEN CARLUCCI (NPI 1528915907) is an individual psychiatric/mental health provider in Jamestown, New York, licensed in New York (F405890-01) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1528915907
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARYELLEN CARLUCCI
Location Address107 INSTITUTE STJamestown, NY 14701-6628
Mailing Address6386 Transit Rd Apt 348Depew, NY 14043-1125 · (716) 294-3995 · Fax (833) 974-2031
Phone(716) 294-3995
Fax(833) 974-2031
Sole ProprietorYes
Enumeration DateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1528915907 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 · F405890-01
107 INSTITUTE ST, Jamestown, NY 14701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

CHELSEA JULIANN MURPHY M.S. CCC-SLP
Speech-Language Pathologist
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
DR. PAUL GORDON HENRY ROBBINS DO
Pediatrics
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
KATHERINE REAGLE
Counselor (Mental Health)
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
RACHEL LIN JOHNSON CPNP-PC
Nurse Practitioner (Pediatrics)
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
MARY JILL VAILLANCOURT CRNP
Nurse Practitioner (Adult Health)
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
DR. ZACHARY TAYLOR KIENDL DC
Chiropractor
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
JENNIFER KAY WILCOX NP
Nurse Practitioner (Family)
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
NICOLE PITTS LCSW-R
Social Worker (Clinical)
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334

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 Maryellen Carlucci's NPI number?

The NPI number for Maryellen Carlucci is 1528915907. It was assigned to this individual provider in the NPPES registry on March 13, 2026.

Where is Maryellen Carlucci located?

Maryellen Carlucci practices at 107 Institute St, Jamestown, NY 14701. The listed phone number is (716) 294-3995.

What is Maryellen Carlucci'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 Maryellen Carlucci was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.