Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Celeste Johnson, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164996039

Celeste Johnson, NURSEPRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner in Deer Park, New York. Licensed in New Jersey and New York. Registered with an NPI since 2019.

Licensed in
NJ, NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

151 Sammis Ave
Deer Park, NY 11729-6719
Phone: (917) 664-9932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 343925 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 26NJ01084700 (NJ)

Record details

NPI number1164996039
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 14, 2019
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing addressPo Box 1559, Stony Brook, NY 11790-0989

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