Organization Active NPI

Paula Kay Kermani NP Psychiatry PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lagrangeville, NY
National Provider Identifier
1326279324
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400915 Issued in NY
Legal business name
PAULA KAY KERMANI NP PSYCHIATRY PC
Practice address
1110 Route 55
Suite 204
Lagrangeville, NY 12540-5045
Phone
(914) 474-8453
Fax
(845) 227-8233
NPI assigned
Aug 7, 2009
Last updated
Aug 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Mrs. Paula Kay Kermani, NPNPI 1316059447
Title
Owner
Phone
(914) 474-8453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400915 NY Primary

Addresses

Primary practice location

1110 Route 55
Suite 204
Lagrangeville, NY 12540-5045

Mailing address

PO Box 578
Hopewell Junction, NY 12533-0578
Phone (914) 474-8453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100331001083 NY Part B Supplier - Clinic/Group Practice 6002942729 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hopewell Junction, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1110 Route 55
Ste 204
Lagrangeville, NY 12540
Phone (845) 797-3642

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": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1326279324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125330578",
            "telephone_number": "914-474-8453",
            "fax_number": "845-227-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ROUTE 55",
            "address_2": "SUITE 204",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405045",
            "telephone_number": "914-474-8453",
            "fax_number": "845-227-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA KAY KERMANI NP PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "KERMANI",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-474-8453",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.