Individual provider Active NPI

Michelle Mary Marchand, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1245871797
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403545-01 Issued in NY
Practice address
401 New Karner Rd
Albany, NY 12205-3854
Phone
(518) 456-3614
Fax
(518) 456-3689
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 711346 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1496484 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403545-01 NY Primary

Addresses

Primary practice location

401 New Karner Rd
Albany, NY 12205-3854

Mailing address

401 New Karner Rd
Albany, NY 12205-3854
Phone (518) 456-3614

Other practice location 1

60 Academy Rd
Albany, NY 12208-3198
Phone (518) 426-2600

Other practice location 2

401 New Karner Rd
Albany, NY 12205-3854
Phone (518) 431-1650

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL vishealth123@gmail.com Health Information Exchange (HIE)

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
I20211221000369 NY Practitioner - Nurse Practitioner 9133510407 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
711346NYMDRegistered Nurse
1496484NYMDPsychiatric/Mental Health Nurse Practitioner
F403545-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Child and Family Center CurrentSince Dec 6, 2021 Accepting new patients
Vis Healthcare Promotions Inc. Psychiatric/Mental Health CurrentSince Nov 1, 2021 Accepting new patients
Kintsugi: Integrative Practice NP in Psychiatry, PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

501 New Karner Rd
Ste 9
Albany, NY 12205
Phone (518) 246-6649

60 Academy Rd
Albany, NY 12208
Phone (518) 292-5499

401 New Karner Rd
Colonie, NY 12205
Phone (518) 456-3614

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1245871797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053854",
            "telephone_number": "518-456-3614",
            "fax_number": "518-456-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053854",
            "telephone_number": "518-456-3614",
            "fax_number": "518-456-3689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Academy Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083198",
            "country_code": "US",
            "telephone_number": "518-426-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 New Karner Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122053854",
            "country_code": "US",
            "telephone_number": "518-431-1650",
            "fax_number": "518-514-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHAND",
        "first_name": "MICHELLE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "711346",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "1496484",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403545-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vishealth123@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "401 New Karner Rd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122053854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.