Maryellen Gregory Hammill
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Breezy Point, NY
NPI 1740879907 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1740879907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F403272-01 (NY)
- Practice address
- 21 Fulton Walk
Breezy Point, NY 11697-1718 - Phone
- (917) 561-1379
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F403272-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- sohomd.maryellenhammill@157389.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403272-01 | NY | Yes |
Addresses
Primary practice location
21 Fulton Walk
Breezy Point, NY 11697-1718
Mailing address
21 Fulton Walk
Breezy Point, NY 11697-1718
Phone (917) 561-1379
Other providers in Breezy Point, NY
- Jenna Susanne Caputo
- Patricia Carpenter
- Diane Carroll
- Jaclyn C Devlin
- Brianne Kathleen Fitzgerald
- Anne Hardick Dacko
- Megan Elizabeth Holihan
- Kaminer Dentistry PLLC
- Caroline Ann Kane
- Jonathan Elliott Lewis
All providers in Breezy Point, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.