Organization Active NPI

Madison NP Psychiatry, PLLC

  • Nurse Practitioner
  • Albany, NY
National Provider Identifier
1487034856
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F401154 Issued in NY
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

Updated by the provider on Jun 1, 2015

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.