Active NPI
Molly Kate Trevail, NP
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402736
- Practice address
- 243 5TH Ave FL 3
New York, NY 10016-8703 - Phone
- (332) 249-7435
- Fax
- (855) 646-9321
- NPI assigned
- Sep 18, 2014
- Last updated
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 430853 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402736 | NY | Primary |
Addresses
Primary practice location
243 5TH Ave FL 3
New York, NY 10016-8703
Mailing address
245 5TH Ave FL 3
New York, NY 10016-8728
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
191 Orchard St
Apt 4D
New York, NY 10002-1424
Phone (718) 534-0689
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 430853 | NY | MD | Acute Care Nurse Practitioner |
| 402736 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Psychiatric Nurse Practitioner P.C | Psychiatric/Mental Health | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients |
Locations
1365 Washington Ave
Albany, NY 12206
Phone (518) 435-1300
1365 Washington Ave
Ste 300
Albany, NY 12206
Phone (518) 489-4704
43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
6 Medical Park Dr
Ste 203
Malta, NY 12020
Phone (518) 264-1200
1275 Broadway
Menands, NY 12204
Phone (518) 262-9705
245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399
Organizations & group practices 8
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.
-
dba Lavender
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1518595727
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Department of Medicine
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
dba Albany Med Division of Community Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Albany, NY
- NPI 1508280389
-
dba Albany Medical College Dept of PM&R
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
-
dba Albany Medical College Dept of Primary Care
- Adolescent Medicine (Family Medicine) Physician
- Albany, NY
- NPI 1700816626
-
dba Alabany Medical College Dept of Anesthesia
- Anesthesiology Physician
- Albany, NY
- NPI 1841226594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1669874921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168703",
"telephone_number": "332-249-7435",
"fax_number": "855-646-9321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVAIL",
"first_name": "MOLLY",
"middle_name": "KATE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "430853",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.