Organization Active NPI

Personal Care NP in Family Health and Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Freeport, NY
National Provider Identifier
1033054267
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PERSONAL CARE NP IN FAMILY HEALTH AND PSYCHIATRY PLLC
Practice address
155 W Merrick Rd Ste 201D
Freeport, NY 11520-3743
Phone
(516) 452-5867
Fax
(516) 914-4948
NPI assigned
Apr 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kristy E Richard, FNP-BC, PMHNP-BCNPI 1437425667
Title
Owner/Nurse Practitioner
Phone
(347) 834-0484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

155 W Merrick Rd Ste 201D
Freeport, NY 11520-3743

Mailing address

1731 E 46TH St
Brooklyn, NY 11234-3606
Phone (347) 834-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260526003500 NY Part B Supplier - Clinic/Group Practice 5496225914 Receives reassigned benefits from 1 practitioner
Practice locations: Freeport, NY

National Provider Directory

National Provider Directory

Locations

155 W Merrick Rd
Ste 201D
Freeport, NY 11520
Phone (516) 452-5867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784419200000",
    "number": "1033054267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 E 46TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343606",
            "telephone_number": "347-834-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W MERRICK RD STE 201D",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203743",
            "telephone_number": "516-452-5867",
            "fax_number": "516-914-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE NP IN FAMILY HEALTH AND PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "347-834-0484",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.