Organization Active NPI

Blue Heron Integrative, Nurse Practitioners in Psychiatry

Doing business as Blue Heron Integrative Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • New Paltz, NY
National Provider Identifier
1053180943
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BLUE HERON INTEGRATIVE, NURSE PRACTITIONERS IN PSYCHIATRY
Doing business as
Blue Heron Integrative Psychiatry
Practice address
124 Main St Ste B
New Paltz, NY 12561-1551
Phone
(845) 584-5900
NPI assigned
Dec 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Omer Margolin, NPNPI 1548643588
Title
Owner
Phone
(845) 584-5900

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

124 Main St Ste B
New Paltz, NY 12561-1551

Mailing address

124 Main St Ste B
New Paltz, NY 12561-1551
Phone (845) 584-5900

Other names 1

  • Blue Heron Integrative Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

124 Main St
Ste B
New Paltz, NY 12561
Phone (845) 584-5900

Practitioners & affiliated clinicians

Practitioners 2

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": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1053180943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MAIN ST STE B",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611551",
            "telephone_number": "845-584-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST STE B",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611551",
            "telephone_number": "845-584-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HERON INTEGRATIVE, NURSE PRACTITIONERS IN PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "MARGOLIN",
        "authorized_official_first_name": "OMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-584-5900",
        "authorized_official_credential": "NP"
    },
    "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": [
        {
            "organization_name": "Blue Heron Integrative Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.