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

Johvani E Bantiles

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1770332280

Johvani E Bantiles is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Watertown, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

650 State St
Watertown, NY 13601-2839
Phone: (315) 755-1251
Fax: (315) 291-6601
Show map & directions

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

Additional practice locations (1)

  • 1 Chimney Point Dr, Ogdensburg, NY 13669-2212 — (315) 775-7649

Specialties & licences

Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0807X · Licence 915663 (NY)

Record details

NPI number1770332280
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address720 Mill St Apt 1, Watertown, NY 13601-1566

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