Individual provider Active NPI

Kristina Catherine Manich, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Peekskill, NY
National Provider Identifier
1407439797
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403651 Issued in NY
Practice address
1008 Main St
Peekskill, NY 10566-2963
Phone
(914) 531-4476
Fax
(888) 649-3528
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403651 NY Primary

Addresses

Primary practice location

1008 Main St
Peekskill, NY 10566-2963

Mailing address

1008 Main St
Peekskill, NY 10566-2963
Phone (914) 531-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211012001520 NY Practitioner - Nurse Practitioner 7214335868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
403651NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kristina Manich NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Nov 24, 2025 Accepting new patients
Cerebral Medical Group, a Professional Corporation PastSince Jun 1, 2021 Accepting new patients

Locations

1008 Main St
Peekskill, NY 10566
Phone (914) 461-4238

Organizations & group practices 3

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1407439797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662963",
            "telephone_number": "914-531-4476",
            "fax_number": "888-649-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662963",
            "telephone_number": "914-531-4476",
            "fax_number": "888-649-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANICH",
        "first_name": "KRISTINA",
        "middle_name": "CATHERINE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

Verify at the official NPI Registry.