Individual provider Active NPI

Ilona Roy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hopewell JCT, NY
National Provider Identifier
1104615731
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406833 Issued in NY
Practice address
1 Village CT
Hopewell JCT, NY 12533-8120
Phone
(917) 678-5997
Fax
(917) 678-5997
NPI assigned
May 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 406833 NY Primary

Addresses

Primary practice location

1 Village CT
Hopewell JCT, NY 12533-8120

Mailing address

1 Village CT
Hopewell JCT, NY 12533-8120
Phone (917) 678-5997

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
I20250915000828 NY Practitioner - Nurse Practitioner 8628571676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Services, Inc.Group PAC ID 1658284542, 39 clinicians

Practice addresses (Care Compare)

223 Main St
Beacon, NY 12508-2770
Phone (845) 486-2703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
406833NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc. CurrentSince Jun 7, 2025 Accepting new patients

Locations

223 Main St
Beacon, NY 12508
Phone (845) 838-4900

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

20 Manchester Rd
Poughkeepsie, NY 12603
Phone (845) 347-6096

Organizations & group practices 1

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": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1104615731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE CT",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125338120",
            "telephone_number": "917-678-5997",
            "fax_number": "917-678-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE CT",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125338120",
            "telephone_number": "917-678-5997",
            "fax_number": "917-678-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "ILONA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell JCT, NY

Sources for this page

Verify at the official NPI Registry.