Individual provider Active NPI

Briana McMorris, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Malta, NY
National Provider Identifier
1841870292
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403524 Issued in NY
Practice address
2452 State Route 9 Ste 205
Malta, NY 12020-4448
Phone
(518) 245-3837
Fax
(518) 245-3840
NPI assigned
Apr 10, 2021
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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 403524 NY Primary

Addresses

Primary practice location

2452 State Route 9 Ste 205
Malta, NY 12020-4448

Mailing address

2452 State Route 9 Ste 205
Malta, NY 12020-4448
Phone (518) 245-3837

Other identifiers 1

IdentifierTypeStateIssuer
1962164525OtherNYGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 12, 2021 through Jul 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
403524NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon James Nurse Practitioner in Psychiatry P.C Psychiatric/Mental Health PastSince Mar 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1841870292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 STATE ROUTE 9 STE 205",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204448",
            "telephone_number": "518-245-3837",
            "fax_number": "518-245-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 STATE ROUTE 9 STE 205",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204448",
            "telephone_number": "518-245-3837",
            "fax_number": "518-245-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMORRIS",
        "first_name": "BRIANA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2024-04-11",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1962164525",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

Verify at the official NPI Registry.