Active NPI
Kathleen Thelian, PMH-NP
- Psychiatric/Mental Health Nurse Practitioner
- Garden City, NY
National Provider Identifier
1437540754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400264-1
- Practice address
- 176 Nassau Blvd
Garden City, NY 11530-5553 - Phone
- (516) 741-1798
- NPI assigned
- Feb 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400264-1 | NY | Primary |
Addresses
Primary practice location
176 Nassau Blvd
Garden City, NY 11530-5553
Mailing address
176 Nassau Blvd
Garden City, NY 11530-5553
Phone (516) 741-1798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F400264-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1437540754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 NASSAU BLVD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305553",
"telephone_number": "516-741-1798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 NASSAU BLVD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305553",
"telephone_number": "516-741-1798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THELIAN",
"first_name": "KATHLEEN",
"credential": "PMH-NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400264-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.