Organization Active NPI

Psychiatric Nurse Practitioner Therapeutic Practice of New York, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1326403395
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401192-1 Issued in NY
Legal business name
PSYCHIATRIC NURSE PRACTITIONER THERAPEUTIC PRACTICE OF NEW YORK, PLLC
Practice address
300 Mercer St
Suite 11F
New York, NY 10003-6724
Phone
(212) 518-1915
NPI assigned
Dec 17, 2015
Last updated
Dec 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Meredith B. Hobart, NPNPI 1699901686
Title
Owner
Phone
(212) 518-1915

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X F401192-1 NY Primary

Addresses

Primary practice location

300 Mercer St
Suite 11F
New York, NY 10003-6724

Mailing address

300 Mercer St
Suite 11F
New York, NY 10003-6724
Phone (212) 518-1915

National Provider Directory

National Provider Directory

Locations

300 Mercer St
Apt 11F
New York, NY 10003
Phone (212) 518-1915

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": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1326403395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MERCER ST",
            "address_2": "SUITE 11F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036724",
            "telephone_number": "212-518-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MERCER ST",
            "address_2": "SUITE 11F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036724",
            "telephone_number": "212-518-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC NURSE PRACTITIONER THERAPEUTIC PRACTICE OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "HOBART",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-518-1915",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401192-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 23, 2015; 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.