Individual provider Active NPI

Ashly Oommen

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Kisco, NY
National Provider Identifier
1265218507
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405233 Issued in NY
Practice address
280 N Bedford Rd Ste 304
Mount Kisco, NY 10549-1148
Phone
(914) 241-0758
NPI assigned
Sep 4, 2023
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405233 NY Primary

Addresses

Primary practice location

280 N Bedford Rd Ste 304
Mount Kisco, NY 10549-1148

Mailing address

280 N Bedford Rd Ste 304
Mount Kisco, NY 10549-1148

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
I20241031000667 NY Practitioner - Nurse Practitioner 6406389329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TTC Psychiatric PCGroup PAC ID 5698868818, 3 clinicians

Practice addresses (Care Compare)

333 Adams St
Bedford Hills, NY 10507-2001
Phone (914) 241-0758

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TTC Psychiatric PC CurrentSince Aug 26, 2024 Accepting new patients
The Therapy Center LLP CurrentSince Aug 26, 2024 Accepting new patients

Locations

333 Adams St
Bedford Hills, NY 10507
Phone (914) 241-0758

280 N Bedford Rd
Ste 304
Mount Kisco, NY 10549
Phone (914) 241-0758

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1265218507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N BEDFORD RD STE 304",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N BEDFORD RD STE 304",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491148",
            "telephone_number": "914-241-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "ASHLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.