Jalisa Jonique Mccullough
PMHNP | Nurse Practitioner - Psych/Mental Health | 5+ years Exp
300 Crittenden Boulevard Box Psych, Rochester
New York, 14642-0001
585-275-3592
Jalisa Jonique Mccullough is a Rochester, New York based nurse practitioner with 5 years of experience in Psych/Mental Health. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jalisa Jonique Mccullough is 402978 for Psych/Mental Health in New York. Her current practice location is 300 Crittenden Boulevard Box Psych, Rochester. Patients can reach her at 585-275-3592. Jalisa Jonique Mccullough is PMHNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1730702077.
Jalisa Jonique Mccullough provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jalisa Jonique Mccullough speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jalisa Jonique Mccullough |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 300 Crittenden Boulevard Box Psych, Rochester,
New York, 14642-0001 |
| Phone: | 585-275-3592 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0840601803 |
| Enrollment ID: | I20201123001932 |
| NPI Number: | 1730702077 |
| NPI Enumeration Date: | 21 May, 2020 |
| NPI Last Update On: | 03 Jul, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jalisa Jonique Mccullough are as mentioned below.
| License Number | Specialization | State | Status | |
| 402978 | Psych/Mental Health | New York | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jalisa Jonique Mccullough is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| University Of Rochester Department Of Psychiatry Clinical Group (3173420429) | 68 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jalisa Jonique Mccullough
604 Suburban Ct Apt 2,
Rochester, New York |
| Zip: | 14620-3837 |
| Phone Number: | 585-309-2363 |
Patients can reach Jalisa Jonique Mccullough at
300 Crittenden Boulevard Box Psych, Rochester, New York or can
call to book an appointment on 585-275-3592.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.