Individual provider Active NPI

Lillian McNamara, NP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1205519485
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405653 Issued in NY
Practice address
348 13TH St
Brooklyn, NY 11215-6177
Phone
(917) 496-6547
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 526872 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405653 NY Primary

Addresses

Primary practice location

348 13TH St
Brooklyn, NY 11215-6177

Mailing address

279 Prescott Ave
Staten Island, NY 10306-3246
Phone (917) 496-6547

Other names 1

  • Lillian Oconnor Former name

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
I20240506004320 NY Practitioner - Nurse Practitioner 7315387453 Reassigns benefits to 2 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
Park Slope Center for Mental Health IncGroup PAC ID 8224936455, 4 clinicians
Michael Hargrove MD PLLCGroup PAC ID 9537515937, 7 clinicians

Practice addresses (Care Compare)

348 13TH St
Suite 203
Brooklyn, NY 11215-6179
Phone (718) 788-2461

3505 Hill Blvd
Suite K
Yorktown Heights, NY 10598-1210
Phone (914) 352-6116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
526872NYMDRegistered Nurse
405653NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Park Slope Center for Mental Health, Inc CurrentSince Mar 27, 2024 Accepting new patients
Peaceful Progress Incorporated Psychiatric/Mental Health CurrentSince May 30, 2026 Accepting new patients
Michael Hargrove MD PLLC CurrentSince Apr 7, 2024 Accepting new patients

Locations

348 13th St
Ste 203
Brooklyn, NY 11215
Phone (718) 788-5101

3505 Hill Blvd
Ste K
Yorktown Heights, NY 10598
Phone (914) 245-3303

Organizations & group practices 3

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1205519485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 PRESCOTT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063246",
            "telephone_number": "917-496-6547",
            "fax_number": "888-420-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156177",
            "telephone_number": "917-496-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "LILLIAN",
        "credential": "NP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "526872",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "OCONNOR",
            "credential": "NP, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.