Active NPI
Madison NP Psychiatry, PLLC
- Nurse Practitioner
- Albany, NY
National Provider Identifier
1487034856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F401154
- Legal business name
- MADISON NP PSYCHIATRY, PLLC
- Practice address
- 756 Madison Ave
Albany, NY 12208-3823 - Phone
- (518) 449-2514
- Fax
- (518) 449-2470
- NPI assigned
- Jun 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Kelley, MS, NPP
- Title
- Owner
- Phone
- (518) 449-2514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F401154 | NY | Primary |
Addresses
Primary practice location
756 Madison Ave
Albany, NY 12208-3823
Mailing address
756 Madison Ave
Albany, NY 12208-3823
Phone (518) 449-2514
National Provider Directory
National Provider DirectoryLocations
756 Madison Ave
Albany, NY 12208
Phone (518) 689-1399
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Clifton Park, NY
- NPI 1184720088
-
- Psychologist
- Albany, NY
- NPI 1679850630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433116800000",
"number": "1487034856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 MADISON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083823",
"telephone_number": "518-449-2514",
"fax_number": "518-449-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "756 MADISON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083823",
"telephone_number": "518-449-2514",
"fax_number": "518-449-2470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON NP PSYCHIATRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-01",
"last_updated": "2015-06-01",
"status": "A",
"authorized_official_last_name": "KELLEY",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-449-2514",
"authorized_official_credential": "MS, NPP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F401154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.