Individual provider Active NPI

Christina Maria Brady, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1548478613
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400992 Issued in NY
Practice address
409 New Karner Rd
Suite 103
Albany, NY 12205-3883
Phone
(518) 265-6517
Fax
(518) 456-3689
NPI assigned
May 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400992 NY Primary

Addresses

Primary practice location

409 New Karner Rd
Suite 103
Albany, NY 12205-3883

Mailing address

409 New Karner Rd
Suite 103
Albany, NY 12205-3883
Phone (518) 265-6517

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
I20110810000010 NY Practitioner - Nurse Practitioner 7911176862 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Dimensions in Living Inc CurrentSince Dec 1, 2024 Accepting new patients
Ridge Health Services, Inc. Psychiatric/Mental Health CurrentSince Oct 23, 2011 Accepting new patients
Nysarc, Inc Schenectady Co Chapter Current Accepting new patients

Locations

40 Wall St
Amsterdam, NY 12010
Phone (518) 843-2575

43 Liberty Dr
Amsterdam, NY 12010
Phone (518) 842-5080

214 State St
Schenectady, NY 12305
Phone (518) 372-1160

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548478613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NEW KARNER RD",
            "address_2": "SUITE 103",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053883",
            "telephone_number": "518-265-6517",
            "fax_number": "518-456-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NEW KARNER RD",
            "address_2": "SUITE 103",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053883",
            "telephone_number": "518-265-6517",
            "fax_number": "518-456-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "CHRISTINA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.