Carrie Lynn George, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401893 Issued in NY

Practice address

Central New York Psychiatric Center
9005 Old River Rd.
Marcy, NY 13403

Phone

(315) 765-3600

Fax

(315) 765-3629

NPI assigned

Aug 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Carrie Lynn Citrin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1194192880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRAL NEW YORK PSYCHIATRIC CENTER",
            "address_2": "9005 OLD RIVER RD. (PO BOX 300)",
            "city": "MARCY",
            "state": "NY",
            "postal_code": "13403",
            "telephone_number": "315-765-3660",
            "fax_number": "315-765-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL NEW YORK PSYCHIATRIC CENTER",
            "address_2": "9005 OLD RIVER RD.",
            "city": "MARCY",
            "state": "NY",
            "postal_code": "13403",
            "telephone_number": "315-765-3600",
            "fax_number": "315-765-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "CITRIN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randy Allen Dymond, M.S., M.P.A.
• Paulo Espanola
• Wendy Lyn Everleth, D.O.
• Lawrence Farago
• Amy Ferguson
• Cynthia Jean Grabski, F.N.P.
• Alla Granatur
• Kristy Hale, RN
• Hollie Jean Haley, RN
• Erin Halligan-McCaleb

• All providers in Marcy, NY
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.