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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1689534505

Tiffany Pacheco, PMHNP-BC is a Nurse Practitioner in Staten Island, New York. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

669 Castleton Ave
Staten Island, NY 10301-2028
Phone: (718) 818-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18 Carnegie Ave, Staten Island, NY 10314-3820 — (718) 818-5777

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 407177 (NY)

Record details

NPI number1689534505
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedNovember 13, 2025
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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