Active NPI
Jennifer Geddes Nurse Practitioner in Psychiatry PLLC
- Community/Behavioral Health Agency
- Pine Bush, NY
National Provider Identifier
1336032960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- JENNIFER GEDDES NURSE PRACTITIONER IN PSYCHIATRY PLLC
- Practice address
- 60 Schrempp LN
Pine Bush, NY 12566-5735 - Phone
- (631) 834-3731
- NPI assigned
- Jun 2, 2025
- Last updated
- Oct 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Mary Geddes
- Title
- Pmhnp
- Phone
- (845) 202-0281
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
60 Schrempp LN
Pine Bush, NY 12566-5735
Mailing address
76 Boniface Dr Ste 12
Pine Bush, NY 12566-4611
Phone (631) 834-3731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
76 Boniface Dr
Ste 12
Pine Bush, NY 12566
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Pine Bush, NY
- NPI 1619736311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793318400000",
"number": "1336032960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 BONIFACE DR STE 12",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "125664611",
"telephone_number": "631-834-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 SCHREMPP LN",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "125665735",
"telephone_number": "631-834-3731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER GEDDES NURSE PRACTITIONER IN PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2026-10-30",
"certification_date": "2026-10-30",
"status": "A",
"authorized_official_last_name": "GEDDES",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "845-202-0281"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bush, NY
- Patricia Herlihy, LCSW-R
- Anna Hernandez, M.D.
- Emma Louise Holland Ennist, LPN
- Hudson Valley Wellness & Chirpractic, PC (Hudson Valley Wellness Center)
- Jean Imparato
- Catherine Marie Johnson, FNP-C
- Judith Purdell-Heckathorn LCSW PLLC
- Katelyn Kinkler, PHARMD
- Linda A Larocco, DNP, ANP-BC, FNP
- Thomas J Larosa, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.