Latasha S Royal-Adams, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

407798 Issued in NY

Practice address

99 S Service Rd
North Hills, NY 11040-1076

Phone

(516) 869-1300

NPI assigned

Jan 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Park Medical Health PCGroup PAC ID 3577085901, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Willow Park Medical Health PC

  • Multi-Specialty Clinic/Center
  • Glen Head, NY
  • NPI 1063219475

  NY

  Medicare reassignment Care Compare group
• Jeanne M. Morris-Foley, NP Psychiatry, P.C.

  • Nurse Practitioner
  • Port Jefferson Station, NY
  • NPI 1336371251
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1811587405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 LAKEWOOD AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751440",
            "telephone_number": "516-445-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S SERVICE RD",
            "city": "NORTH HILLS",
            "state": "NY",
            "postal_code": "110401076",
            "telephone_number": "516-869-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Axinn Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115302153",
            "country_code": "US",
            "telephone_number": "516-833-5515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4655 Nesconset Hwy",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117762579",
            "country_code": "US",
            "telephone_number": "631-805-2879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYAL-ADAMS",
        "first_name": "LATASHA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "646735-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breath for Life Inc
• Suzanne M Connolly, RN, MSN, ANP
• Lewis M Levin, MD
• Doris Jane Nolan, N.P.
• Richang Xia, M.D.
• Richang Xia, M.D.

• Psychiatric/Mental Health Nurse Practitioner in North Hills, NY
• Providers in North Hills, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.