Individual provider Active NPI

Kimberly Bello, PMH-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newburgh, NY
National Provider Identifier
1285451575
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406390 Issued in NY
Practice address
86 Brookview LN
Newburgh, NY 12550-7233
Phone
(914) 815-0157
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 406390 NY Primary

Addresses

Primary practice location

86 Brookview LN
Newburgh, NY 12550-7233

Mailing address

86 Brookview LN
Newburgh, NY 12550-7233
Phone (914) 815-0157

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
I20250113002326 NY Practitioner - Nurse Practitioner 5496283855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Guidance Center Addiction Services IncGroup PAC ID 4587766498, 4 clinicians
East Orange Psychiatric Associates LLPGroup PAC ID 5890899819, 8 clinicians

Practice addresses (Care Compare)

106 Vineyard Ave
Highland, NY 12528-1422
Phone (845) 691-9191

400 Stony Brook CT
Newburgh, NY 12550-6522
Phone (845) 565-0600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Guidance Center Addiction Services Inc CurrentSince May 1, 2025 Accepting new patients
East Orange Psychiatric Associates, LLP CurrentSince Jan 1, 2025 Accepting new patients

Locations

106 Vineyard Ave
Highland, NY 12528
Phone (845) 691-9191

400 Stony Brook Ct
Ste 1
Newburgh, NY 12550
Phone (845) 565-0600

400 Stony Brook Ct
Newburgh, NY 12550
Phone (845) 534-2900

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1285451575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BROOKVIEW LN",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507233",
            "telephone_number": "914-815-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BROOKVIEW LN",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507233",
            "telephone_number": "914-815-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "KIMBERLY",
        "credential": "PMH-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.