Individual provider Active NPI

Bridget Lennon, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beacon, NY
National Provider Identifier
1467756569
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402805 Issued in NY
Practice address
242 Main St # 317
Beacon, NY 12508-2732
Phone
(212) 801-2082
Fax
(914) 371-3847
NPI assigned
Jan 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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 402805 NY Primary

Addresses

Primary practice location

242 Main St # 317
Beacon, NY 12508-2732

Mailing address

1607 Route 300 Ste 115
Newburgh, NY 12550-1738
Phone (212) 801-2082

Other practice location 1

2125 Albany Post Rd Ste 209
Montrose, NY 10548-1447
Phone (212) 801-2082

Other practice location 2

1607 Route 300 Ste 115
Newburgh, NY 12550-1738
Phone (212) 801-2082

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

LicenseStateTypeSpecialty
402805NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1467756569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 ROUTE 300 STE 115",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501738",
            "telephone_number": "212-801-2082",
            "fax_number": "888-706-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MAIN ST # 317",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082732",
            "telephone_number": "212-801-2082",
            "fax_number": "914-371-3847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 Albany Post Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "NY",
            "postal_code": "105481447",
            "country_code": "US",
            "telephone_number": "212-801-2082",
            "fax_number": "888-706-1331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1607 Route 300 Ste 115",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125501738",
            "country_code": "US",
            "telephone_number": "212-801-2082",
            "fax_number": "888-706-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENNON",
        "first_name": "BRIDGET",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.