Active NPI
Eden Group Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Albany, NY
National Provider Identifier
1720894371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EDEN GROUP HEALTH LLC
- Practice address
- 418 Broadway Ste N
Albany, NY 12207-2922 - Phone
- (201) 788-9665
- Fax
- (201) 569-2433
- NPI assigned
- Dec 9, 2024
- Last updated
- Jun 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherill L Lym
- Title
- Executive Director
- Phone
- (201) 788-9665
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary | ||
| Case Management Registered Nurse | 163WC0400X | |||
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X |
Addresses
Primary practice location
418 Broadway Ste N
Albany, NY 12207-2922
Mailing address
418 Broadway Ste N
Albany, NY 12207-2922
Phone (201) 788-9665
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Mental Health Counselor
- Englewood, NJ
- NPI 1871056481
-
- Social Worker
- Bronx, NY
- NPI 1578037792
-
- Family Nurse Practitioner
- Jersey City, NJ
- NPI 1598030652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749686400000",
"number": "1720894371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 BROADWAY STE N",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072922",
"telephone_number": "201-788-9665",
"fax_number": "201-569-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 BROADWAY STE N",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072922",
"telephone_number": "201-788-9665",
"fax_number": "201-569-2433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN GROUP HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-09",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A",
"authorized_official_last_name": "LYM",
"authorized_official_first_name": "SHERILL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "201-788-9665"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.