Individual provider Active NPI

Nicole A. Taylor, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1174987432
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405061-01 Issued in NY
Practice address
10 McKown Rd Ste 102
Albany, NY 12203-3473
Phone
(518) 689-0244
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 491467 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405061-01 NY Primary

Addresses

Primary practice location

10 McKown Rd Ste 102
Albany, NY 12203-3473

Mailing address

204 Manor Ave
Cohoes, NY 12047-1519
Phone (518) 334-1538

Other practice location 1

300 Flatbush Ave # 1
Brooklyn, NY 11217-2812
Phone (518) 334-1538

Other practice location 2

2431 6th Ave
Troy, NY 12180-2227
Phone (518) 334-1538

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
I20231003003034 NY Practitioner - Nurse Practitioner 1658725080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Behavioral Health Ipa, PLLCGroup PAC ID 5294703005, 23 clinicians

Practice addresses (Care Compare)

10 McKown Rd
Suite 102
Albany, NY 12203-3496
Phone (818) 689-0244

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
491467NYMDRegistered Nurse
F405061-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity House of Troy Inc CurrentSince Jun 1, 2026 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Sep 25, 2023 Accepting new patients
Saratoga Hospital CurrentSince Sep 25, 2023 Accepting new patients
Saratoga Hospital CurrentSince Sep 25, 2023 Accepting new patients
Pinnacle Behavioral Health Ipa PLLC CurrentSince Mar 24, 2025 Accepting new patients
Joseph Ippolito PastSince Mar 24, 2025 Accepting new patients

Locations

10 McKown Rd
Ste 102
Albany, NY 12203
Phone (518) 689-0244

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600

2431 6th Ave
Troy, NY 12180
Phone (518) 274-2607

Organizations & group practices 7

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1174987432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MANOR AVE",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120471519",
            "telephone_number": "518-334-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCKOWN RD STE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033473",
            "telephone_number": "518-689-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Flatbush Ave # 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112172812",
            "country_code": "US",
            "telephone_number": "518-334-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2431 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802227",
            "country_code": "US",
            "telephone_number": "518-334-1538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NICOLE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "491467",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405061-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.