A Registered Professional Nurse, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

A REGISTERED PROFESSIONAL NURSE, PLLC

Doing business as

A 1st Step Mental Health & Wellness

Practice address

1 Piermont Ave
Nyack, NY 10960

Phone

(917) 745-5157

Fax

(845) 684-0794

NPI assigned

Jul 14, 2023

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Coleman, PMHNP-BC, NC-BCNPI 1013513035

Title

Psychiatric Nurse Practitioner

Phone

(917) 745-5157

Specialties & licenses 1

Addresses

Other names 1

• A 1st Step Mental Health & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Coleman, NC-BC, NP-P

  • Psychiatric/Mental Health Nurse Practitioner
  • Nyack, NY
  • NPI 1013513035
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1487333647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 S BROADWAY UNIT 622",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109607555",
            "telephone_number": "917-745-5157",
            "fax_number": "845-684-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PIERMONT AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "917-745-5157",
            "fax_number": "845-684-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A REGISTERED PROFESSIONAL NURSE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "917-745-5157",
        "authorized_official_credential": "PMHNP-BC, NC-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A 1st Step Mental Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Nyack, NY
• Providers in Nyack, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.