# COMPASSIONATE PSYCHIATRIC NP CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shelly Lynn Peters
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083267959
- **Authorized official:** SHELLY LYNN PETERS PMHNP-BC (OWNER/NURSE PRACTITIONER)
- **Authorized official phone:** (315) 362-2540

## Contact information

- **Practice address:** 5700 W GENESEE ST STE 132, CAMILLUS, NY 13031-3212
- **Practice address phone:** (315) 362-2540
- **Practice address fax:** (315) 671-1786
- **Mailing address:** 5700 W GENESEE ST STE 132, CAMILLUS, NY 13031-3212
- **Mailing address phone:** (315) 362-2540
- **Mailing address fax:** (315) 671-1786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2019
- **Last updated:** 08/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04532216 | — | NY |
| 01 | — | 1942754015 | NPI TYPE 1 | NY |