Jalisa Mccullough, PMHNP
NPI 1730702077 · Psychiatric/Mental Health Nurse Practitioner · Rochester, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jalisa Mccullough, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in Rochester, NY (NPI 1730702077).
Provider details
- NPI number
- 1730702077
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 402978 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-21
- Last updated
- 2023-07-03
- Certified
- 2020-05-21
Frequently asked questions
- What is Jalisa Mccullough's NPI number?
- Jalisa Mccullough's National Provider Identifier (NPI) is 1730702077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jalisa Mccullough's specialty?
- Jalisa Mccullough is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jalisa Mccullough located?
- Jalisa Mccullough's practice location on file with NPPES is 300 Crittenden Boulevard Box Psych, Rochester, NY 14642-0001.
- What is Jalisa Mccullough's phone number?
- The practice phone number listed in the NPPES registry for Jalisa Mccullough is (585) 275-3592.
- Does Jalisa Mccullough accept Medicare?
- Jalisa Mccullough is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jalisa Mccullough's NPI active?
- Yes — Jalisa Mccullough's NPI (1730702077) is active in the NPPES registry as of the last update on 2023-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.