Active NPI
Rachel Hart, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Latham, NY
National Provider Identifier
1376270777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AC004664
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN10030154 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 701895 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert L. Van Uitert, M.D., P.C. | Past | 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.
-
- Adult Mental Health Clinic/Center
- Poughkeepsie, NY
- NPI 1174789812
-
- Psychiatry Physician
- Poughkeepsie, NY
- NPI 1255911582
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
-
- Neurology with Special Qualifications in Child Neurology Physician
- North Adams, MA
- NPI 1770601809
-
- Adult Mental Health Clinic/Center
- Salisbury, MD
- NPI 1962027094
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.