Individual provider Active NPI

Ashley Michelle Price, DNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1033775408
Registry record updated May 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402571 Issued in NY
Practice address
620 Erie Blvd W Ste 208
Syracuse, NY 13204-2457
Phone
(315) 472-7363
NPI assigned
May 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402571 NY Primary

Addresses

Primary practice location

620 Erie Blvd W Ste 208
Syracuse, NY 13204-2457

Mailing address

17 Main St
Whitesboro, NY 13492-1013
Phone (315) 534-9583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214002436 NY Practitioner - Nurse Practitioner 8820400906 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Onondaga Case Management Services Inc. CurrentSince Jun 2, 2021 Accepting new patients
Onondaga Case Management Services Inc. CurrentSince Jun 2, 2021 Accepting new patients
The Neighborhood Center, Inc. CurrentSince Jan 9, 2024 Accepting new patients

Locations

620 Erie Blvd W
Ste 302
Syracuse, NY 13204
Phone (315) 472-7363

620 Erie Blvd W
Ste 208
Syracuse, NY 13204
Phone (315) 472-7363

624 Elizabeth St
Utica, NY 13501
Phone (315) 272-2600

Interoperability endpoints

  • Direct secure messaging: amprice@hiemail.healtheconnections.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1033775408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921013",
            "telephone_number": "315-534-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ERIE BLVD W STE 208",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042457",
            "telephone_number": "315-472-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "credential": "DNP PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.