1. Home
  2. Directory
  3. New York
  4. Watertown
  5. Registered Nurse
  6. NPI Profile

JOHVANI E BANTILES
NPI 1770332280
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Watertown, NY

Active since May 16, 2024
650 STATE ST, WATERTOWN, NY 13601(315) 755-1251(315) 291-6601 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 3, 2024, May 16, 2024 (2 updates tracked since 2024).

About Johvani E Bantiles NPPES

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

JOHVANI E BANTILES (NPI 1770332280) is an individual psychiatric/mental health, child & adolescent provider in Watertown, New York, licensed in New York (915663) and active in the NPI registry since May 2024. The provider maintains a secondary practice location in Ogdensburg.

NPPES Registry Identity

NPI1770332280
Entity TypeIndividual
Primary Taxonomy163WP0807X
Provider Legal NameJOHVANI E BANTILES
Location Address650 STATE STWatertown, NY 13601-2839
Mailing Address720 Mill St Apt 1Watertown, NY 13601-1566 · (315) 775-7649
Phone(315) 755-1251
Fax(315) 291-6601
Sole ProprietorNo
Enumeration DateMay 16, 2024
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1770332280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in NY · 915663
650 STATE ST, Watertown, NY 13601
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Chimney Point DrOgdensburg, NY 13669-2212 · Phone (315) 775-7649

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.

MRS. JILL ANN NEWMAN RN
Registered Nurse (General Practice)
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
ERICH CROWLEY
Peer Specialist
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
VICTORIA TAFT
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
JESSICA R MONAGHAN
Counselor
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
SABRINA KAY MADDEN RN
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
JOYCE BLOSSER
Case Manager/Care Coordinator
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
CHASTITY NOEL BROWN
Peer Specialist
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
PEARL LEANNE RUMSEY
Peer Specialist
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251

Frequently Asked Questions

What is Johvani Bantiles's NPI number?

The NPI number assigned to this healthcare provider is 1770332280, enumerated as an "individual" on May 16, 2024.

Where is the provider located?

The provider is located at 650 STATE ST WATERTOWN, NY 13601 and the phone number is (315) 755-1251.

What is the provider's specialty?

Registered Nurse with taxonomy code 163WP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.