Organization Active NPI

Mark Hall Nurse Practitioner in Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1255816005
Registry record updated Sep 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MARK HALL NURSE PRACTITIONER IN PSYCHIATRY
Practice address
1115 Broadway Ste 1108
New York, NY 10010-3450
Phone
(646) 500-8627
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2023

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

Authorized official

Name
Mark Hall, NPNPI 1598193989
Title
Owner/Member
Phone
(646) 500-8627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1115 Broadway Ste 1108
New York, NY 10010-3450

Mailing address

55 W 92ND St Apt 2B
New York, NY 10025-7628
Phone (646) 500-8627

National Provider Directory

National Provider Directory

Locations

96 5th Ave
Apt 1K
New York, NY 10011
Phone (917) 403-5445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695427200000",
    "number": "1255816005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W 92ND ST APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257628",
            "telephone_number": "646-500-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BROADWAY STE 1108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103450",
            "telephone_number": "646-500-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK HALL NURSE PRACTITIONER IN PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2023-09-23",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "646-500-8627",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; 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.