PHILLIES DAITEY
NPI 1659258028
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since August 18, 2025
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029(347) 741-0170 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillies Daitey NPPES

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

PHILLIES DAITEY (NPI 1659258028) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (F406073-01) and active in the NPI registry since August 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1659258028
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePHILLIES DAITEY
Location Address1 GUSTAVE L LEVY PL FL 12New York, NY 10029-6574
Mailing Address1 Gustave L Levy Pl Fl 12New York, NY 10029-6574
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
NPI 1659258028 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 · F406073-01
1 GUSTAVE L LEVY PL FL 12, New York, NY 10029

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Phillies Daitey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466938154
PECOS Enrollment IDI20260113000565

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.

Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY 10029
Social Worker
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY 10029
Registered Nurse (Emergency)
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY 10029
Psychiatry & Neurology (Psychiatry)
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY 10029
Social Worker
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY 10029
Social Worker
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY 10029

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 Phillies Daitey's NPI number?

The NPI number for Phillies Daitey is 1659258028. It was assigned to this individual provider in the NPPES registry on August 18, 2025.

Where is Phillies Daitey located?

Phillies Daitey practices at 1 Gustave L Levy Pl Fl 12, New York, NY 10029. The listed phone number is (347) 741-0170.

What is Phillies Daitey's specialty?

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

Is Phillies Daitey enrolled in Medicare?

Yes. Phillies Daitey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillies Daitey was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.