Active NPI
Kathryn J. McDonnell, DNP, PMHNP, FNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Katonah, NY
National Provider Identifier
1003243544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F403700-01
- Practice address
- 800 Cross River Rd
Katonah, NY 10536-3549 - Phone
- (914) 763-8151
- Fax
- (845) 452-9751
- NPI assigned
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- No
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 | F338149 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403700-01 | NY | Primary |
Addresses
Primary practice location
800 Cross River Rd
Katonah, NY 10536-3549
Mailing address
800 Cross River Rd
Katonah, NY 10536-3549
Phone (914) 763-8151
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F338149 | NY | MD | Family Nurse Practitioner |
| F403700-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1003243544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CROSS RIVER RD",
"city": "KATONAH",
"state": "NY",
"postal_code": "105363549",
"telephone_number": "914-763-8151",
"fax_number": "888-214-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CROSS RIVER RD",
"city": "KATONAH",
"state": "NY",
"postal_code": "105363549",
"telephone_number": "914-763-8151",
"fax_number": "845-452-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONNELL",
"first_name": "KATHRYN",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "DNP, PMHNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F338149",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F403700-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.