Individual provider Active NPI

Emily A Reichard, BSN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1235791989
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403091 Issued in NY
Practice address
310 W 72ND St Ste 1F
New York, NY 10023-2675
Phone
(212) 877-3999
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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 F403091 NY Primary
Registered Nurse 163W00000X 26NR20051400 NJ

Addresses

Primary practice location

310 W 72ND St Ste 1F
New York, NY 10023-2675

Mailing address

2 Dean Dr FL 1
Tenafly, NJ 07670-2765

Other practice location 1

2 Dean Dr Fl 1
Tenafly, NJ 07670-2765
Phone (201) 568-8288

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
I20201028002499 NY Practitioner - Nurse Practitioner 7719307958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR20051400NJMDRegistered Nurse
F403091NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Lawrence Friedman, M.D., L.L.C. CurrentSince Aug 18, 2020 Accepting new patients
Center for Family Guidance, PC Past Accepting new patients

Locations

2 Dean Dr
Fl 1
Tenafly, NJ 07670
Phone (201) 568-8288

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1235791989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEAN DR FL 1",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W 72ND ST STE 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232675",
            "telephone_number": "212-877-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Dean Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Tenafly",
            "state": "NJ",
            "postal_code": "076702765",
            "country_code": "US",
            "telephone_number": "201-568-8288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHARD",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403091",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR20051400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.