Organization Active NPI

Emerald Wellness, NP in Psychiatry PLLC

  • Health Service Clinic/Center
  • Garden City, NY
National Provider Identifier
1306694419
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EMERALD WELLNESS, NP IN PSYCHIATRY PLLC
Practice address
1 Old Country Rd
Suite 306
Garden City, NY 11530
Phone
(646) 906-8968
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Alanna Montalvan, NPNPI 1245524628
Title
Owner
Phone
(646) 906-8968

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1 Old Country Rd
Suite 306
Garden City, NY 11530

Mailing address

13 Bryce Ave
Glen Cove, NY 11542-2013
Phone (646) 906-8968

National Provider Directory

National Provider Directory

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": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1306694419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BRYCE AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422013",
            "telephone_number": "646-906-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD COUNTRY RD",
            "address_2": "SUITE 306",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "646-906-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD WELLNESS, NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-05",
        "status": "A",
        "authorized_official_last_name": "MONTALVAN",
        "authorized_official_first_name": "ALANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-906-8968",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.