Active NPI
Wendy Berry, RN
- Psychiatric/Mental Health Registered Nurse
- Hudson Falls, NY
National Provider Identifier
1356355879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 00327226
- Practice address
- 3043 State Route 4
Hudson Falls, NY 12839-9632 - Phone
- (518) 747-2284
- Fax
- (518) 747-2253
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 00327226 | NY | Primary |
Addresses
Primary practice location
3043 State Route 4
Hudson Falls, NY 12839-9632
Mailing address
3043 State Route 4
Hudson Falls, NY 12839-9632
Phone (518) 747-2284
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11690166 | Other | CAQH | |
| 53088 | Other | MVP | |
| 040426031939 | Other | FIDELIS | |
| 00327226 | Medicaid | NY | |
| 00400166001 | Other | HEALTHNOW INTEGRATED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00327226 | NY | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Washington Association for Mental Health, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/10d65d12-0ecf-4613-84df-07c7c4f09ca4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hudson Falls, NY
- NPI 1073549796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1356355879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3043 STATE ROUTE 4",
"city": "HUDSON FALLS",
"state": "NY",
"postal_code": "128399632",
"telephone_number": "518-747-2284",
"fax_number": "518-747-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3043 STATE ROUTE 4",
"city": "HUDSON FALLS",
"state": "NY",
"postal_code": "128399632",
"telephone_number": "518-747-2284",
"fax_number": "518-747-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "WENDY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "00327226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11690166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "53088",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426031939",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00327226",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW INTEGRATED",
"identifier": "00400166001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.