Individual provider Active NPI

Rachel Hart, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Latham, NY
National Provider Identifier
1376270777
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC004664 Issued in MD
Practice address
3 Lear Jet LN Ste 203S
Latham, NY 12110-2322
Phone
(518) 391-2680
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC004664 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN10030154 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 701895 NY

Addresses

Primary practice location

3 Lear Jet LN Ste 203S
Latham, NY 12110-2322

Mailing address

77 Hospital Ave Ste 202
North Adams, MA 01247-2538
Phone (413) 664-4600

Other practice location 1

77 Hospital Ave Ste 202
North Adams, MA 01247-2538
Phone (413) 664-4600 ext. 80

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CO, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260107001980 MA Practitioner - Nurse Practitioner 4981074135 Practice locations: North Adams, MA
I20260508001047 CO Practitioner - Nurse Practitioner 4981074135 Reassigns benefits to 1 organization
I20260529000946 NY Practitioner - Nurse Practitioner 4981074135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverview Psychiatric Medicine, PCGroup PAC ID 6901395342, 21 clinicians

Practice addresses (Care Compare)

3 Lear Jet LN
Latham, NY 12110-2322
Phone (845) 471-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN10030154MAMDPsychiatric/Mental Health Nurse Practitioner
701895NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L. Van Uitert, M.D., P.C. PastSince Dec 21, 2025 Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1376270777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE STE 202",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472538",
            "telephone_number": "413-664-4600",
            "fax_number": "413-664-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LEAR JET LN STE 203S",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102322",
            "telephone_number": "518-391-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Hospital Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "North Adams",
            "state": "MA",
            "postal_code": "012472538",
            "country_code": "US",
            "telephone_number": "413-664-4600 x80",
            "fax_number": "413-664-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "RACHEL",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC004664",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN10030154",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "701895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.