Active NPI
Kim Marie Dinelle, PSYCHIATRIC NP
- Psychiatric/Mental Health Nurse Practitioner
- Beacon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F401829-1
- Practice address
- 18 Strack Dr
Beacon, NY 12508-1596 - Phone
- (845) 831-4800
- NPI assigned
- Jun 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401829-1 | NY | Primary |
Addresses
Primary practice location
18 Strack Dr
Beacon, NY 12508-1596
Mailing address
18 Strack Dr
Beacon, NY 12508-1596
Phone (845) 831-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1083 Bloom Rd
Danville, PA 17821-6789
Phone (877) 782-8637
162 E Broadway
Monticello, NY 12701-8815
Phone (845) 796-1350
4885 Route 9
Staatsburg, NY 12580-6028
Phone 9086632929898
515 Valley St
Suite 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929
Hospital & facility affiliations
- Garnet Health Medical Center
- Garnet Health Medical Center Catskills
- St Peter'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F401829-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc Sullivan County Chapter | Current | Accepting new patients | |
| Stationmd Professional Corporation | Current | Accepting new patients |
Locations
515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800
162 E Broadway
Monticello, NY 12701
Phone (845) 796-1350
1435 Route 44
Pleasant Vly, NY 12569
Phone (845) 635-8084
8 Industry St
Poughkeepsie, NY 12603
Phone (845) 471-8876
1083 Bloom Rd
Danville, PA 17821
Phone (570) 764-2636
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.
-
- Developmental Disabilities Clinic/Center
- Monticello, NY
- NPI 1609985571
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435363200000",
"number": "1326429119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 STRACK DR",
"city": "BEACON",
"state": "NY",
"postal_code": "125081596",
"telephone_number": "845-831-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 STRACK DR",
"city": "BEACON",
"state": "NY",
"postal_code": "125081596",
"telephone_number": "845-831-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINELLE",
"first_name": "KIM",
"middle_name": "MARIE",
"credential": "PSYCHIATRIC NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401829-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beacon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.