Individual provider Active NPI

Donna Hepburn, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bedford Hills, NY
National Provider Identifier
1427159110
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400728-1 Issued in NY
Practice address
333 Adams St
Bedford Hills, NY 10507-2001
Phone
(914) 241-5158
Fax
(914) 242-5152
NPI assigned
Sep 26, 2006
Last updated
Jun 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R53973 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400728-1 NY Primary

Addresses

Primary practice location

333 Adams St
Bedford Hills, NY 10507-2001

Mailing address

1 Carriage House LN
Brookfield, CT 06804-3919
Phone (914) 241-0758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20140401001378 CT Practitioner - Nurse Practitioner 7810950292 Practice locations: Brookfield, CT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2888CTMDOptometrist
R53973CTMDPsychiatric/Mental Health Nurse Practitioner
F400728-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Psychiatric Associates, PC PastSince Jul 1, 2003 Accepting new patients
Westchester Faculty Psychological Associates PC Past Accepting new patients
The Therapy Center LLP PastSince Apr 23, 2016 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1427159110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARRIAGE HOUSE LN",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043919",
            "telephone_number": "914-241-0758",
            "fax_number": "914-242-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ADAMS ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072001",
            "telephone_number": "914-241-5158",
            "fax_number": "914-242-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPBURN",
        "first_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "R53973",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400728-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

Verify at the official NPI Registry.