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

Jacob Thengampallil

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1447748843

Jacob Thengampallil is an Adult Psychiatric/Mental Health Registered Nurse in Orangeburg, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone: (845) 680-8694
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403172 (NY)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence 592600 (NY)

Record details

NPI number1447748843
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2018
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020
Mailing address140 Old Orangeburg Rd, Orangeburg, NY 10962-1157

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