NPPES file of Aug 9, 2026

Jalisa Jonique McCullough, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Rochester, NY

Jalisa Jonique McCullough, PMHNP is a psychiatric/mental health nurse practitioner with a practice address in Rochester, New York, and NPI 1730702077, issued on May 21, 2020. Check the license (New York 402978, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1730702077
Name
Jalisa Jonique McCullough
Credential
PMHNP
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License number
402978 NY
Self-reported in NPPES; status is on the state search
Practice location
300 Crittenden Boulevard Box Psych, Rochester, NY 14642
Phone
(585) 275-3592
Enumerated
May 21, 2020
Record last updated
Jul 3, 2023
Medicare enrollment
Enrolled (PECOS I20201123001932); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest psychiatric/mental health nurse practitioner records → All 4,129 in New York → Look up another NPI →

Also registered at 300 Crittenden Boulevard Box Psych

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Grace Digiovanni, DOStudent in an Organized Health Care Education/Training Program1558157081
  2. Leslie Kaiser, N.P.Nurse Practitioner1568403715
  3. Kimberly Trombly, NPAcute Care Nurse Practitioner1780849521

Verify Jalisa Jonique McCullough in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 402978    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Athenapsych LLCRochester, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jalisa Jonique McCullough among 4,129 psychiatric/mental health nurse practitioner records in New York

Jalisa Jonique McCullough, PMHNP is one of 4,129 psychiatric/mental health nurse practitioner records with a practice address in New York. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 58% of them.

  • NPI issued2020 · 58% of these records are older, 37% newer
  • In a Medicare fileYes · 68% of these records are
  • In the CMS Doctors and Clinicians fileYes · 46% of these records are
  • Graduated2020 · median 2021 among the 1,914 with a school on file
  • Record last updated2023 · 34% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatric/Mental Health Nurse Practitioner providers in New York

There are 4,129 psychiatric/mental health nurse practitioner records in New York.

All 4,129 in New York → Every provider in Rochester → Psychiatric/Mental Health Nurse Practitioner nationwide →

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Joanne Bartlett, N.P.Rochester, NY 146421740502525
  2. Susan Blaakman, N.P.P.Rochester, NY 146421326051541
  3. Kelly Boldt, N.P.Rochester, NY 146421700894490
  4. Jack Bromsted, NPRochester, NY 146421851300321
  5. Carol Crane, NPRochester, NY 146421881604080
  6. Barbara Dahlberg, NPRochester, NY 146421689804304
  7. Joann Egan, NPRochester, NY 146421518976695
  8. Carolyn French, NPPRochester, NY 146421093728586

Common questions

What is Jalisa Jonique McCullough, PMHNP's NPI number?

Jalisa Jonique McCullough, PMHNP's National Provider Identifier (NPI) is 1730702077, issued on May 21, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Jalisa Jonique McCullough, PMHNP located?

The NPPES record lists a practice address at 300 Crittenden Boulevard Box Psych, Rochester, NY, 14642. Phone: (585) 275-3592. Providers update this record themselves, so call before visiting.

How can I verify Jalisa Jonique McCullough, PMHNP's license?

NPPES lists New York license number 402978, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.