Individual provider Active NPI

Katrina Jones Galasik, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterloo, NY
National Provider Identifier
1518339159
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403293 Issued in NY
Practice address
31 Thurber Dr
Waterloo, NY 13165-1665
Phone
(315) 539-1980
Fax
(315) 539-1054
NPI assigned
Oct 22, 2015
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403293 NY Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 680061 NY

Addresses

Primary practice location

31 Thurber Dr
Waterloo, NY 13165-1665

Mailing address

31 Thurber Dr
Waterloo, NY 13165-1665
Phone (315) 539-1980

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211111000732 NY Practitioner - Nurse Practitioner 2860881976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seneca County TreasurerGroup PAC ID 7416840301, 16 clinicians

Practice addresses (Care Compare)

31 Thurber Dr
Waterloo, NY 13165-1665
Phone (315) 539-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
680061NYMDAdult Psychiatric/Mental Health Registered Nurse
403293NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca County Addictions Program CurrentSince Aug 28, 2023 Accepting new patients
Citizen Advocates, Inc CurrentSince Aug 14, 2022 Accepting new patients
Seneca County Treasurer Current Accepting new patients
Citizen Advocates, Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

15 Francis St
Malone, NY 12953
Phone (518) 483-7801

31 6th St
Malone, NY 12953
Phone (518) 483-8980

1003 Park St
Ogdensburg, NY 13669
Phone (315) 713-9090

31 Thurber Dr
Waterloo, NY 13165
Phone (315) 539-1980

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1518339159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 THURBER DR",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651665",
            "telephone_number": "315-539-1980",
            "fax_number": "315-539-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 THURBER DR",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651665",
            "telephone_number": "315-539-1980",
            "fax_number": "315-539-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES GALASIK",
        "first_name": "KATRINA",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403293",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "680061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, NY

Sources for this page

Verify at the official NPI Registry.