Active NPI
Kathleen J Boyle, F.N.P
- Psychiatric/Mental Health Nurse Practitioner
- Harrison, NY
National Provider Identifier
1003148776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F404084
- Practice address
- 106 Calvert St
Harrison, NY 10528-3131 - Phone
- (845) 216-7775
- NPI assigned
- Feb 5, 2010
- Last updated
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F332068-1 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F404084 | NY | Primary |
Addresses
Primary practice location
106 Calvert St
Harrison, NY 10528-3131
Mailing address
40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone (845) 770-1949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6505 | CT | MD | General Practice Dentistry |
| F404084 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kathleenboyle@cmdci.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1003148776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ROBERT PITT DR",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523333",
"telephone_number": "845-770-1949",
"fax_number": "845-503-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CALVERT ST",
"city": "HARRISON",
"state": "NY",
"postal_code": "105283131",
"telephone_number": "845-216-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "KATHLEEN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "F.N.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-05",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332068-1",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F404084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.