Individual provider Active NPI

Charlotte P Sloan, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodstock, NY
National Provider Identifier
1750690509
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F-401334-1 Issued in NY
Practice address
15 Pine Grove St
Woodstock, NY 12498-1507
Phone
(845) 679-6678
Fax
(845) 679-6678
NPI assigned
Sep 28, 2010
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 F-401334-1 NY Primary

Addresses

Primary practice location

15 Pine Grove St
Woodstock, NY 12498-1507

Mailing address

15 Pine Grove St
Woodstock, NY 12498-1507
Phone (845) 679-6678

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110317000054 NY Practitioner - Nurse Practitioner 1153503826 Reassigns benefits to 1 organization
Practice locations: Rhinebeck, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6302 Mill St
Rhinebeck, NY 12572-1429
Phone (914) 475-0680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F-401334-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of the Hudson Valley CurrentSince Jun 1, 2025 Accepting new patients
Dennis Marcus MD PC Psychiatric/Mental Health Past Accepting new patients
South County Psychiatric & Psychotherapy Center PastSince Sep 7, 1995 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

360 Washington Ave
Kingston, NY 12401
Phone (845) 338-7140

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1750690509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PINE GROVE ST",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981507",
            "telephone_number": "845-679-6678",
            "fax_number": "845-679-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PINE GROVE ST",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981507",
            "telephone_number": "845-679-6678",
            "fax_number": "845-679-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "CHARLOTTE",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F-401334-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, NY

Sources for this page

Verify at the official NPI Registry.