ALBATROSS TO PHOENIX PSYCHIATRY LLC
NPI 1801651864
Nurse Practitioner - Psychiatric/Mental Health in Jersey City, NJ
About Albatross To Phoenix Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALBATROSS TO PHOENIX PSYCHIATRY LLC (NPI 1801651864) is a healthcare organization registered as a psychiatric/mental health in Jersey City, New Jersey and active in the NPI registry since February 2024. The organization lists Ricky James Jewell, Advanced Practice Nurse, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Albatross To Phoenix Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Albatross To Phoenix Psychiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Albatross To Phoenix Psychiatry LLC's NPI number?
The NPI number for Albatross To Phoenix Psychiatry LLC is 1801651864. It was assigned to this organization in the NPPES registry on February 19, 2024.
Where is Albatross To Phoenix Psychiatry LLC located?
Albatross To Phoenix Psychiatry LLC is located at 111 Town Square Pl Ste 1238, Jersey City, NJ 07310. The listed phone number is (201) 757-2531.
What is Albatross To Phoenix Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Albatross To Phoenix Psychiatry LLC enrolled in Medicare?
Yes. Albatross To Phoenix Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Albatross To Phoenix Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Albatross To Phoenix Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Albatross To Phoenix Psychiatry LLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Albatross To Phoenix Psychiatry Llc · NPI 1801651864
Psychiatric/Mental Health organization in Jersey City, New Jersey. Organization record, active in the CMS NPPES registry since February 19, 2024.
## Identity
- **NPI:** 1801651864 (Entity type: Organization)
- **Enumerated:** February 19, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Ricky Jewell, ADVANCED PRACTICE NURSE
## Practice location
- **Address:** 111 TOWN SQUARE PL STE 1238, Jersey City, NJ 07310-1810
- **Phone:** (201) 757-2531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801651864) · Data from the CMS NPPES public registry.