Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUDITH ELISA BLAKELY, APRN: PSYCHIATRY
DeactivatedJUDITH ELISA BLAKELY, APRN: PSYCHIATRY is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in QUEENSBURY, New York. NPI 1205185055 is deactivated in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · QUEENSBURY, NY
This NPI has been deactivated.
The record was deactivated on January 14, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1205185055
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2012 (6.3561643835616 yrs)
- Last Updated
- Jul 23, 2025
- Deactivated
- Jan 14, 2019
- Licenses
-
101.0134532 (VT)026.0015348 (VT)
Practice Information
- Address
-
375 BAY RDQUEENSBURY, NY, 128043012Browse NY providers · Browse ZIP 12804
- Phone
- 5184807870
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in QUEENSBURY, NY
| Name | Credential | NPI |
|---|---|---|
| JAMIE L ELLIS | NPP | 1508806779 |
| NICOLE MARIE GAUGER | PMHP | 1578642427 |
| ALEXIS M MONDELLA | NPP FNP | 1417400177 |
| TRUDY MARIE-VIOLA WARNER-PHILLIPS | NPP | 1487101101 |
| CHRISTOPHER J WEBER | NPP | 1356876684 |
| LAUREN SULLIVAN | PMHNP | 1285147850 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.