Orange County NP in Psychiatry PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ORANGE COUNTY NP IN PSYCHIATRY PLLC

Practice address

45 St John St
Goshen, NY 10924-1518

Phone

(347) 898-0813

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Jacqueline Dongmo MekontchouNPI 1225453715

Title

Provider/Owner

Phone

(347) 898-0813

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Jacqueline Dongmo Mekontchou

  • Psychiatric/Mental Health Nurse Practitioner
  • Katonah, NY
  • NPI 1225453715

  NY

  Medicare reassignment Care Compare group NPD Authorized official
• Fabius Mekontchou, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1508106287

  NY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1043099799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ST JOHN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ST JOHN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241518",
            "telephone_number": "347-898-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "DONGMO MEKONTCHOU",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "347-898-0813"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Dept. of Health
• Orange County Dept. of Health
• Orange County Dept. of Health
• Orange County Dept. of Health
• Orange County Innovators
• Orange Ctny Dept. of Health Eicm
• Orange Regional Medical Center
• Orange-Ulster Board of Cooperative Educational Services
• Orange/Ulster Boces
• Allison Orourke

• All providers in Goshen, NY
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.