Organization Active NPI

Lotus NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Melville, NY
National Provider Identifier
1376222760
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LOTUS NP IN PSYCHIATRY PLLC
Practice address
555 Broadhollow Rd Ste 305
Melville, NY 11747-5018
Phone
(646) 995-2360
NPI assigned
Jul 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Jatoopon Maldonado, PMHNPNPI 1265927974
Title
Nurse Practitioner
Phone
(718) 764-3164

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

555 Broadhollow Rd Ste 305
Melville, NY 11747-5018

Mailing address

PO Box 509
Deer Park, NY 11729-0509
Phone (718) 764-3164

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1376222760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117290509",
            "telephone_number": "718-764-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BROADHOLLOW RD STE 305",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475018",
            "telephone_number": "646-995-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "JATOOPON",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "718-764-3164",
        "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": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.