Individual provider Active NPI

Frank McDermott, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, NY
National Provider Identifier
1053791426
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403086 Issued in NY
Practice address
10 Benton Ave
Middletown, NY 10940-5177
Phone
(845) 563-8000
NPI assigned
Jun 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 690256 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403086 NY Primary

Addresses

Primary practice location

10 Benton Ave
Middletown, NY 10940-5177

Mailing address

2570 Route 9W Ste 10
Cornwall, NY 12518-1370
Phone (845) 220-3100

Other practice location 1

129 Bellvale Lakes Rd
Warwick, NY 10990-3401
Phone (845) 544-5208

Other identifiers 1

IdentifierTypeStateIssuer
06139115MedicaidNY

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
I20210902002771 NY Practitioner - Nurse Practitioner 3072933118 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kristen E Caroprese LCSW PLLCGroup PAC ID 3779821491, 13 clinicians

Practice addresses (Care Compare)

18 Miller Rd
Mahopac, NY 10541-2220
Phone (845) 628-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
690256NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Discovery Inc CurrentSince May 1, 2022 Accepting new patients
Kristen E Caroprese LCSW PLLC CurrentSince Mar 1, 2023 Accepting new patients
The Center for Discovery Inc CurrentSince May 1, 2022 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Jul 24, 2020 Accepting new patients
Westchester Health Associates, P.L.L.C PastSince Mar 1, 2023 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

18 Miller Rd
Mahopac, NY 10541
Phone (845) 628-2300

606 Old Route 17
Monticello, NY 12701
Phone (845) 707-8400

Interoperability endpoints

  • Direct secure messaging: fmcdermott1661841@nychhc.direct-ci.com

Organizations & group practices 6

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1053791426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 ROUTE 9W STE 10",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181370",
            "telephone_number": "845-220-3100",
            "fax_number": "845-534-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BENTON AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405177",
            "telephone_number": "845-563-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Bellvale Lakes Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "NY",
            "postal_code": "109903401",
            "country_code": "US",
            "telephone_number": "845-544-5208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "FRANK",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "690256",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06139115",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.