Kathleen J Boyle, F.N.P
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Harrison, NY
NPI 1003148776 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1003148776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F404084 (NY)
- Practice address
- 106 Calvert St
Harrison, NY 10528-3131 - Phone
- (845) 216-7775
- NPI assigned
- Feb 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- kathleenboyle@cmdci.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F332068-1 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F404084 | NY | Yes |
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
Other providers in Harrison, NY
- Devon L Bonnemere
- Carly Heather Borenkind
- Nuria Angelica Borowitz
- Bridget Bosch
- Jodi Boxer
- Bradley Schnebel, DMD, PLLC
- Thomas Brady
- Robert Brenner
- Winston Brice
- Bridgette L. Riley, NP in Psychiatry, PLLC
All providers in Harrison, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.