Active NPI
Ec Psychiatric Nurse Practitioner PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Suffern, NY
National Provider Identifier
1790483766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EC PSYCHIATRIC NURSE PRACTITIONER PLLC
- Practice address
- 21 Robin Hood Rd
Suffern, NY 10901-3820 - Phone
- (646) 671-1187
- NPI assigned
- Feb 20, 2023
- Last updated
- Feb 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edner Cuvilly, NPP
- Title
- Nurse Practitioner Psychiatry
- Phone
- (646) 671-1187
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
21 Robin Hood Rd
Suffern, NY 10901-3820
Mailing address
115 Franklin Turnpike
PO Box 168
Mahwah, NJ 07430
Phone (646) 671-1187
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676851200000",
"number": "1790483766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 FRANKLIN TURNPIKE",
"address_2": "PO BOX 168",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "07430",
"telephone_number": "646-671-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 ROBIN HOOD RD",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109013820",
"telephone_number": "646-671-1187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EC PSYCHIATRIC NURSE PRACTITIONER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A",
"authorized_official_last_name": "CUVILLY",
"authorized_official_first_name": "EDNER",
"authorized_official_title_or_position": "NURSE PRACTITIONER PSYCHIATRY",
"authorized_official_telephone_number": "646-671-1187",
"authorized_official_credential": "NPP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.