Kevin Rich, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403050 Issued in NY

Practice address

150 Motor Pkwy Ste 401
Hauppauge, NY 11788-5108

Phone

(631) 238-1509

Fax

(631) 980-3686

NPI assigned

Mar 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.kevinrich@142175.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Employee Assistance Resource Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Smithtown, NY
  • NPI 1720196942
  Medicare reassignment NPD
• Carmel Psychological Health, PC

  • Psychologist
  • Carmel, NY
  • NPI 1720194335
  NPD (past)
• Leslie Marino MD PLLC

  • Psychiatry Physician
  • Babylon, NY
  • NPI 1356927693
  NPD (past)
• South Lake Chiropractic P.C.

  • Chiropractor
  • Babylon, NY
  • NPI 1679640775
  NPD (past)

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1487301164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WINDSOR ST",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204206",
            "telephone_number": "631-478-9763",
            "fax_number": "631-980-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MOTOR PKWY STE 401",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885108",
            "telephone_number": "631-238-1509",
            "fax_number": "631-980-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117021708",
            "country_code": "US",
            "telephone_number": "631-502-7938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2046 N Country Rd",
            "address_purpose": "LOCATION",
            "city": "Wading River",
            "state": "NY",
            "postal_code": "117921634",
            "country_code": "US",
            "telephone_number": "631-257-7968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Broadhollow Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117474863",
            "country_code": "US",
            "telephone_number": "845-279-5908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-03",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven B Ressel, O.D.
• Zulma Restituto
• Carolyn Patricia Reuter, OTR/L
• Revive Bodyworks
• Dana Reyes
• Mary Puanani Rigney
• Amber Rijos, MA, CCC-SLP
• Meghan Riley-Beska
• Jalieth Peta-Gay Riley-Bryan
• Meryl Lauren Rinelli, MS LMHC

• Psychiatric/Mental Health Nurse Practitioner in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.