Individual provider Active NPI

Seamus Ronan Galvin, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1780984153
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401258-1 Issued in NY
Practice address
1910 Arthur Ave
Bronx, NY 10457-6305
Phone
(914) 473-2640
Fax
(914) 473-2640
NPI assigned
Nov 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401258-1 NY Primary
Mental Health Counselor 101YM0800X 461868 NY

Addresses

Primary practice location

1910 Arthur Ave
Bronx, NY 10457-6305

Mailing address

54 Hyatt Ave
Yonkers, NY 10704-4311
Phone (914) 473-2640

Other practice location 1

2975 Independence Ave
Bronx, NY 10463-4620
Phone (914) 473-2640

Other practice location 2

967 N Broadway
Yonkers, NY 10701-1301
Phone (914) 473-2640

Other practice location 3

1276 Fulton Ave
Bronx, NY 10456-3402
Phone (718) 901-8453

Other practice location 4

1276 Fulton Ave
Bronx, NY 10456-3402
Phone (718) 901-8453

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
I20161116001758 NY Practitioner - Nurse Practitioner 7012296965 Reassigns benefits to 2 organizations
Practice locations: Yonkers, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

770 E 176TH St
Bronx, NY 10460-4617
Phone (718) 583-5150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
461868NYMDMental Health Counselor
F401258-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 17, 2016 Accepting new patients
Montefiore Medical Center CurrentSince Sep 17, 2016 Accepting new patients
Vocational Instruction Project Community Services, Inc. CurrentSince May 9, 2018 Accepting new patients
Vocational Instruction Project Community Services Inc Past Accepting new patients
Vocational Instruction Project Community Services Inc PastSince Jun 21, 2020 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

770 E 176th St
Fl 4
Bronx, NY 10460
Phone (718) 583-5150

770 E 176th St
Bronx, NY 10460
Phone (718) 466-8034

1910 Arthur Ave
Bronx, NY 10457
Phone (718) 466-8961

770 E 176th St
Fl 2
Bronx, NY 10460
Phone (718) 583-5150

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780984153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HYATT AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044311",
            "telephone_number": "914-473-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576305",
            "telephone_number": "914-473-2640",
            "fax_number": "914-473-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 Independence Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104634620",
            "country_code": "US",
            "telephone_number": "914-473-2640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "967 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011301",
            "country_code": "US",
            "telephone_number": "914-473-2640",
            "fax_number": "914-473-2640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1276 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104563402",
            "country_code": "US",
            "telephone_number": "718-901-8453",
            "fax_number": "718-901-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1276 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104563402",
            "country_code": "US",
            "telephone_number": "718-901-8453",
            "fax_number": "718-901-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "SEAMUS",
        "middle_name": "RONAN",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401258-1",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "461868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.