Organization Active NPI

R. Nelson NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saratoga Springs, NY
National Provider Identifier
1114744240
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
R. NELSON NP IN PSYCHIATRY PLLC
Practice address
28 Clinton St Ste 8
Saratoga Springs, NY 12866-2143
Phone
(518) 855-1984
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Mrs. Rebekah Nelson, PMHNPNPI 1336878800
Title
Manager
Phone
(518) 855-1984

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

28 Clinton St Ste 8
Saratoga Springs, NY 12866-2143

Mailing address

28 Clinton St Ste 8
Saratoga Springs, NY 12866-2143

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1114744240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST STE 8",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST STE 8",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662143",
            "telephone_number": "518-855-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. NELSON NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "518-855-1984",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.