Lifespan NP Psychiatric Services, PC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Sherrill, NY
NPI 1003629403 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1003629403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- LIFESPAN NP PSYCHIATRIC SERVICES, PC
- Practice address
- 60 E State St Ste 400
Sherrill, NY 13461-1218 - Phone
- (315) 200-9723
- NPI assigned
- Jan 29, 2025
- Organization subpart
- No
Authorized official
- Name
- Kelly Dorman, NP
- Title
- Owner, President
- Phone
- (315) 200-9723
Practitioners 1
-
Kelly Maria Dorman, PMHNP
National Provider Directory
Locations
60 E State St
Ste 400
Sherrill, NY 13461
Phone (315) 200-9723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
60 E State St Ste 400
Sherrill, NY 13461-1218
Mailing address
1021 Chapel St
Oneida, NY 13421-2837
Phone (315) 200-9723
Other providers in Sherrill, NY
- Kara Kaplan, LMHC, PLLC
- Keys Corp
- Jacqueline M Kimball
- Jeffrey M Kinne
- Ellen Montana Lerner
- Sarah L Linder
- Betsy Marie Lopata
- Laura Christine McGaugh
- Matthew John McKay
- Jessica Ostrander
All providers in Sherrill, 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 Jan 29, 2025. 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.