Organization Active NPI

Nurse Practitioner in Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York Mills, NY
National Provider Identifier
1730610510
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
F401417 Issued in NY
Legal business name
NURSE PRACTITIONER IN PSYCHIATRY
Practice address
587 Main St
Suite 110a
New York Mills, NY 13417-1431
Phone
(315) 723-6031
Fax
(315) 507-5823
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Mr. Robert Sharpe, NP
Title
President
Phone
(315) 723-6031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X F401417 NY Primary

Addresses

Primary practice location

587 Main St
Suite 110a
New York Mills, NY 13417-1431

Mailing address

#3 Mill 587 Main St
Suite 110a
New York Mills, NY 13417-1431
Phone (315) 723-6031

National Provider Directory

National Provider Directory

Locations

587 Main St
Ste 110
New York Mills, NY 13417
Phone (315) 723-6031

587 Main St
Ste 110A
New York Mills, NY 13417
Phone (315) 507-5811

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1730610510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#3 MILL 587 MAIN ST",
            "address_2": "SUITE 110A",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171431",
            "telephone_number": "315-723-6031",
            "fax_number": "315-507-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 MAIN ST",
            "address_2": "SUITE 110A",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171431",
            "telephone_number": "315-723-6031",
            "fax_number": "315-507-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER IN PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-723-6031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "F401417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.