Empower NP in Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMPOWER NP IN PSYCHIATRY, PLLC

Practice address

640 Adams PL
West Hempstead, NY 11552-3210

Phone

(516) 962-3158

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Matthew Bach, PMHNPNPI 1669994745

Title

Psychiatric Provider

Phone

(516) 962-3158

Specialties & licenses 1

Addresses

Practitioners 1

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

• Matthew Bach

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1669994745

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1396503645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ADAMS PL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ADAMS PL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523210",
            "telephone_number": "516-962-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER NP IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PSYCHIATRIC PROVIDER",
        "authorized_official_telephone_number": "516-962-3158",
        "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.