Jennifer Geddes Nurse Practitioner in Psychiatry PLLC

Organization Active NPI Community/Behavioral Health Agency · Pine Bush, NY

NPI 1336032960 · NPPES record last updated Jun 2, 2025

Key facts

NPI
1336032960
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
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
Organization subpart
No

Authorized official

Name
Jennifer Geddes, PMHNP-BC NPI 1619736311
Title
Nurse Practitioner
Phone
(631) 834-3731

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20251203003634 NY Part B Supplier - Clinic/Group Practice 1951894302 Receives reassigned benefits from 1 practitioner
Practice locations: Pine Bush, NY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

60 Schrempp LN
Pine Bush, NY 12566-5735

Mailing address

60 Schrempp LN
Pine Bush, NY 12566-5735
Phone (631) 834-3731

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 2, 2025.

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1336032960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SCHREMPP LN",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125665735",
            "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": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "GEDDES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-834-3731",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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

All providers in Pine Bush, NY · Community/Behavioral Health Agency in New York

Sources for this page

Verify at the official NPI Registry.