Organization Active NPI

Paula Kay Kermani NP - Psychiatry PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fishkill, NY
National Provider Identifier
1518383033
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
397009 Issued in NY
Legal business name
PAULA KAY KERMANI NP - PSYCHIATRY PC
Practice address
1076 Main St
203
Fishkill, NY 12524-3606
Phone
(914) 474-8453
Fax
(845) 728-0667
NPI assigned
Mar 7, 2014
Last updated
Mar 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Paula Kay Kermani, NPNPI 1316059447
Title
Owner
Phone
(914) 474-8453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 397009 NY Primary

Addresses

Primary practice location

1076 Main St
203
Fishkill, NY 12524-3606

Mailing address

72 Saddle Ridge Dr
Hopewell Junction, NY 12533-6044
Phone (914) 474-8453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100331001083 NY Part B Supplier - Clinic/Group Practice 6002942729 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Hopewell Junction, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1518383033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SADDLE RIDGE DR",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336044",
            "telephone_number": "914-474-8453",
            "fax_number": "845-728-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 MAIN ST",
            "address_2": "203",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243606",
            "telephone_number": "914-474-8453",
            "fax_number": "845-728-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA KAY KERMANI NP - PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "KERMANI",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-474-8453",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "397009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.