Organization Active NPI

Twilight Mental Health Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1851112411
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TWILIGHT MENTAL HEALTH CARE LLC
Practice address
1350 Avenue of the Americas FL 2-1150
New York, NY 10019-4702
Phone
(484) 257-7500
Fax
(215) 352-6898
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Kirt LewisNPI 1144925041
Title
Owner
Phone
(201) 580-9726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1350 Avenue of the Americas FL 2-1150
New York, NY 10019-4702

Mailing address

3764 Easton Nazareth Hwy
Easton, PA 18045-8340
Phone (201) 580-9726

Other practice location 1

502 W 7th St Ste 100
Erie, PA 16502-1333
Phone (484) 257-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20241114000619 PA Part B Supplier - Clinic/Group Practice 6709310634 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, PA
O20251118005027 DE Part B Supplier - Clinic/Group Practice 6709310634 Receives reassigned benefits from 1 practitioner
Practice locations: New Castle, DE
O20251210004142 NJ Part B Supplier - Clinic/Group Practice 6709310634 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, NJ

National Provider Directory

National Provider Directory

Locations

1350 Avenue of the Americas
Fl 21150
New York, NY 10019
Phone (484) 257-7500

3764 Easton Nazareth Hwy
Easton, PA 18045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1851112411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3764 EASTON NAZARETH HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458340",
            "telephone_number": "201-580-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 AVENUE OF THE AMERICAS FL 2-1150",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194702",
            "telephone_number": "484-257-7500",
            "fax_number": "215-352-6898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 W 7th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165021333",
            "country_code": "US",
            "telephone_number": "484-257-7500",
            "fax_number": "215-352-6898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TWILIGHT MENTAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KIRT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-580-9726"
    },
    "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 New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.