Kristen Briody, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KRISTEN BRIODY, LLC

Practice address

107 W Main St
East Islip, NY 11730-2337

Phone

(631) 666-1615

NPI assigned

Mar 18, 2022

Last updated

Mar 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Briody, PMHNP-BCNPI 1700345717

Title

Pmhnp-BC

Phone

(631) 666-1615

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kristen Rose Briody, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palmer, MA
  • NPI 1700345717
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1346999372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302337",
            "telephone_number": "631-666-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302337",
            "telephone_number": "631-666-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN BRIODY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "BRIODY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "631-666-1615",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123456789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Kjeldsen
• Jacob Nadler Klein
• Knickerbocker Dialysis Inc (East Islip Dialysis)
• Katherine Koncelik, CBD, CPD, CLC
• Caroline Isabelle Kozlowski, N.P.
• Alicia Kulla, LCSW
• Michael Ladinsky, D.O.
• Demetra Lalos
• Megan Lamarca
• Susan Marie Lamens

• Mental Health Clinic/Center (Including Community Mental Health Center) in East Islip, NY
• Providers in East Islip, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.