Individual provider Active NPI

Kylie Marie McKeighan, PMHNP, LMHC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1144888397
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F408619 Issued in NY
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

Updated by the provider on May 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923001943 NY Practitioner - Mental Health Counselor 8224579875 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F408619NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy LCSW Counseling Services PC CurrentSince Jul 18, 2024 Accepting new patients
Mary E Vanalstyne Nurse Practitioner in Family Health PC PastSince May 1, 2022 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.

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

Verify at the official NPI Registry.