# MAINSTAY BEHAVIORAL HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730914128
- **Authorized official:** MRS. JACQUELINE DESIREE JOSEPH NP-BC (PSYCHIATRIC MENTAL HEALTH NP)
- **Authorized official phone:** (570) 656-4254

## Contact information

- **Practice address:** 7164 ROUTE 209, STROUDSBURG, PA 18360-7108
- **Practice address phone:** (570) 656-4254
- **Practice address fax:** (570) 300-9204
- **Mailing address:** 7164 ROUTE 209 STE 110, STROUDSBURG, PA 18360-7108
- **Mailing address phone:** (570) 656-4254
- **Mailing address fax:** (570) 300-9204

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 08/31/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104438000-0002 | — | PA |