Individual provider Active NPI

Brandy Baillargeon, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1851743124
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402020 Issued in NY
Practice address
60 Academy Rd
Albany, NY 12208-3198
Phone
(518) 426-2600
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 402020 NY Primary

Addresses

Primary practice location

60 Academy Rd
Albany, NY 12208-3198

Mailing address

60 Academy Rd
Albany, NY 12208-3103
Phone (518) 426-2600

Other practice location 1

167 Polk St
Suite 300
Watertown, NY 13601-2097
Phone (315) 782-7445

Other practice location 2

530 Franklin St
Schenectady, NY 12305-2008
Phone (518) 346-1284

Other names 1

  • Brandy Boucher Former name

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
I20161208001765 NY Practitioner - Nurse Practitioner 7315227394 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Regis Mohawk Tribe CurrentSince Aug 26, 2021 Accepting new patients
Dr Brandy M Baillargeon Nurse Practitioner Psychiatry PLLC Psychiatric/Mental Health CurrentSince Feb 1, 2026 Accepting new patients
Family Services, Inc. CurrentSince Jul 15, 2020 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Psychiatric/Mental Health CurrentSince Jun 1, 2022 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jun 1, 2022 Accepting new patients
Children'S Home of Jefferson County PastSince Sep 24, 2016 Accepting new patients
Parsons Child and Family Center PastSince Feb 1, 2021 Accepting new patients

Locations

750 Astor Ave
Bronx, NY 10467
Phone (718) 882-5000

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

404 State Route 37
Hogansburg, NY 13655
Phone (518) 358-3141

412 State Route 37
Hogansburg, NY 13655
Phone (518) 358-3141

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

230 North Rd
Poughkeepsie, NY 12601
Phone (845) 452-0774

Organizations & group practices 7

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1851743124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083103",
            "telephone_number": "518-426-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083198",
            "telephone_number": "518-426-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Polk St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136012097",
            "country_code": "US",
            "telephone_number": "315-782-7445",
            "fax_number": "315-779-1184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123052008",
            "country_code": "US",
            "telephone_number": "518-346-1284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILLARGEON",
        "first_name": "BRANDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "BOUCHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.