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
- Title
- Nurse Practitioner
- Phone
- (631) 834-3731
Practitioners 1
-
Jennifer Mary Geddes, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Patricia Herlihy
- Anna Hernandez
- Emma Louise Holland Ennist
- Hudson Valley Wellness & Chirpractic, PC
- Jean Imparato
- Catherine Marie Johnson
- Judith Purdell-Heckathorn LCSW PLLC
- Katelyn Kinkler
- Linda A Larocco
- Thomas J Larosa
All providers in Pine Bush, NY · Community/Behavioral Health Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.