Individual provider Active NPI

Debra Mayers, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, NY
National Provider Identifier
1609284827
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401754 Issued in NY
Practice address
27 Carpenter Ave Ste 7
Middletown, NY 10940-2401
Phone
(845) 238-8853
Fax
(646) 619-4083
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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 401754 NY Primary

Addresses

Primary practice location

27 Carpenter Ave Ste 7
Middletown, NY 10940-2401

Mailing address

27 Carpenter Ave Ste 7
Middletown, NY 10940-2401
Phone (845) 238-8853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1609284827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CARPENTER AVE STE 7",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402401",
            "telephone_number": "845-238-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CARPENTER AVE STE 7",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402401",
            "telephone_number": "845-238-8853",
            "fax_number": "646-619-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYERS",
        "first_name": "DEBRA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2022-03-25",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.