Individual provider Active NPI

Courtney Shay Lester, PMHNP-BC

  • Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1215760186
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F406119-01 Issued in NY
Practice address
272 Sylvan Knoll Rd
Stamford, CT 06902-5360
Phone
(860) 550-5477
NPI assigned
Aug 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 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 F406119-01 NY
Nurse Practitioner 363L00000X F406119-01 NY Primary

Addresses

Primary practice location

272 Sylvan Knoll Rd
Stamford, CT 06902-5360

Mailing address

272 Sylvan Knoll Rd
Stamford, CT 06902-5360
Phone (860) 550-5477

Other practice location 1

1 Barker Ave Ste 200
White Plains, NY 10601-1523
Phone (914) 222-0101 ext. 20101

Other practice location 2

10 Executive Blvd Ste 104
Montebello, NY 10901-4170
Phone (913) 222-0101

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130003336 NY Practitioner - Psychiatry 3476031469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Side Integrative Medicine PCGroup PAC ID 6709245939, 4 clinicians

Practice addresses (Care Compare)

1 Barker Ave
Suite 200
White Plains, NY 10601-1523
Phone (914) 222-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F406119-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Side Integrative Medicine PC Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Marpa Minds LLC PastSince Jul 31, 2023 Accepting new patients

Locations

400 Rella Blvd
Ste 20789
Suffern, NY 10901

10 Executive Blvd
Ste 104
Suffern, NY 10901
Phone (914) 222-0101

1 Barker Ave
Ste 200
White Plains, NY 10601
Phone (914) 222-0101

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": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1215760186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 SYLVAN KNOLL RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025360",
            "telephone_number": "860-550-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 SYLVAN KNOLL RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025360",
            "telephone_number": "860-550-5477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Barker Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106011523",
            "country_code": "US",
            "telephone_number": "914-222-0101 x20101",
            "fax_number": "914-521-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Executive Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "NY",
            "postal_code": "109014170",
            "country_code": "US",
            "telephone_number": "913-222-0101",
            "fax_number": "914-521-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESTER",
        "first_name": "COURTNEY",
        "middle_name": "SHAY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-24",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406119-01",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F406119-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.