Active NPI
Kylie Marie McKeighan, PMHNP, LMHC, RN
- Psychiatric/Mental Health Nurse Practitioner
- Clifton Park, NY
National Provider Identifier
1144888397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F408619
- Practice address
- 4 Emma LN Ste 402
Clifton Park, NY 12065-3705 - Phone
- (518) 557-1712
- Fax
- (518) 557-1713
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F408619 | NY | Primary |
| Mental Health Counselor | 101YM0800X | 006787 | NY |
Addresses
Primary practice location
4 Emma LN Ste 402
Clifton Park, NY 12065-3705
Mailing address
4 Emma LN Ste 402
Clifton Park, NY 12065-3705
Phone (518) 557-1712
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F408619 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy LCSW Counseling Services PC | Current | Accepting new patients | |
| Mary E Vanalstyne Nurse Practitioner in Family Health PC | Past | Accepting new patients |
Locations
6 Chelsea Pl
Ste 103
Clifton Park, NY 12065
Phone (518) 364-6632
6 Chelsea Pl
Clifton Park, NY 12065
Phone (518) 400-0125
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Clifton Park, NY
- NPI 1396080339
-
- Family Nurse Practitioner
- Clifton Park, NY
- NPI 1164169694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780185600000",
"number": "1144888397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 EMMA LN STE 402",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653705",
"telephone_number": "518-557-1712",
"fax_number": "518-557-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 EMMA LN STE 402",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653705",
"telephone_number": "518-557-1712",
"fax_number": "518-557-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEIGHAN",
"first_name": "KYLIE",
"middle_name": "MARIE",
"credential": "PMHNP, LMHC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2026-05-31",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F408619",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.