Organization Active NPI

Kristen M Marquis Nurse Practitioner in Psychiatry PLLC

Doing business as KM Psychiatry Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1346926433
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KRISTEN M MARQUIS NURSE PRACTITIONER IN PSYCHIATRY PLLC
Doing business as
KM Psychiatry Associates
Practice address
4 Emma LN Ste 402
Clifton Park, NY 12065-3705
Phone
(518) 577-1712
Fax
(518) 577-1713
NPI assigned
Jun 23, 2023
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Mrs. Kristen M Marquis, PMHNPNPI 1487384657
Title
Owner
Phone
(518) 466-7799

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 Primary

Addresses

Primary practice location

4 Emma LN Ste 402
Clifton Park, NY 12065-3705

Mailing address

3 Cold Springs Dr
Halfmoon, NY 12065-2666
Phone (518) 707-6011

Other names 1

  • KM PSYCHIATRY ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

4 Emma Ln
Ste 402
Clifton Park, NY 12065
Phone (518) 557-1712

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": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1346926433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COLD SPRINGS DR",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120652666",
            "telephone_number": "518-707-6011",
            "fax_number": "518-577-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EMMA LN STE 402",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653705",
            "telephone_number": "518-577-1712",
            "fax_number": "518-577-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN M MARQUIS NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "MARQUIS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-466-7799",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KM PSYCHIATRY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.