Organization Active NPI

Auxano Psychiatric NP Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rensselaer, NY
National Provider Identifier
1770219321
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AUXANO PSYCHIATRIC NP SERVICES, PLLC
Practice address
516 Washington Ave
Rensselaer, NY 12144-1440
Phone
(518) 980-9810
Fax
(518) 980-9818
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Ms. Carole A Rumberger, NP
Title
Psychiatric Nurse Practitioner
Phone
(518) 980-9810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

516 Washington Ave
Rensselaer, NY 12144-1440

Mailing address

516 Washington Ave
Rensselaer, NY 12144-1440
Phone (518) 980-9810

National Provider Directory

National Provider Directory

Locations

516 Washington Ave
Ste 1
Rensselaer, NY 12144
Phone (518) 980-9810

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1770219321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 WASHINGTON AVE",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121441440",
            "telephone_number": "518-980-9810",
            "fax_number": "518-980-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 WASHINGTON AVE",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121441440",
            "telephone_number": "518-980-9810",
            "fax_number": "518-980-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUXANO PSYCHIATRIC NP SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "RUMBERGER",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "518-980-9810",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.