Organization Active NPI

Alden Bush DNP - Nurse Practitioner in Psychiatry PLLC

Doing business as Mentalby

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1295502235
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ALDEN BUSH DNP - NURSE PRACTITIONER IN PSYCHIATRY PLLC
Doing business as
Mentalby
Practice address
17 State St FL 40
New York, NY 10004-1547
Phone
(518) 652-1352
Fax
(518) 450-6484
NPI assigned
Dec 11, 2023
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Dr. Alden A Bush, DNP, MPHNPI 1346839024
Title
Sole Member/Owner
Phone
(518) 652-1352

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

17 State St FL 40
New York, NY 10004-1547

Mailing address

17 State St FL 40
New York, NY 10004-1547
Phone (518) 652-1352

Other names 1

  • MENTALBY Doing business as

National Provider Directory

National Provider Directory

Locations

17 State St
Fl 40
New York, NY 10004
Phone (518) 652-1352

110 W Bay Plz
Plattsburgh, NY 12901
Phone (518) 561-3707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1295502235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STATE ST FL 40",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041547",
            "telephone_number": "518-652-1352",
            "fax_number": "518-450-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 STATE ST FL 40",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041547",
            "telephone_number": "518-652-1352",
            "fax_number": "518-450-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN BUSH DNP - NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "ALDEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "518-652-1352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MPH"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENTALBY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MENTALBY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2024; 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.