Organization Active NPI

Eloise Palmisano RN Nurse Practitioner in Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saratoga Springs, NY
National Provider Identifier
1861153884
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ELOISE PALMISANO RN NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Practice address
268 Broadway Ste 202
Saratoga Springs, NY 12866-4271
Phone
(518) 741-6111
Fax
(518) 450-1042
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Eloise Palmisano RN NPP, NPP
Title
MGR/Owner
Phone
(518) 257-2443

Specialties & licenses 1

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

Addresses

Primary practice location

268 Broadway Ste 202
Saratoga Springs, NY 12866-4271

Mailing address

268 Broadway Ste 202
Saratoga Springs, NY 12866-4271
Phone (518) 257-2443

Other identifiers 2

IdentifierTypeStateIssuer
03321004MedicaidNY
PRC200212771OtherNYCDPHP

Other names 1

  • Eloise Palmisano RN NPP Doing business as

National Provider Directory

National Provider Directory

Locations

268 Broadway
Ste 202
Saratoga Springs, NY 12866
Phone (518) 583-3002

538 Maple Ave
Ste C
Saratoga Springs, NY 12866
Phone (518) 741-6111

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": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1861153884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 BROADWAY STE 202",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664271",
            "telephone_number": "518-257-2443",
            "fax_number": "518-450-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 BROADWAY STE 202",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664271",
            "telephone_number": "518-741-6111",
            "fax_number": "518-450-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOISE PALMISANO RN NURSE PRACTITIONER IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "NPP",
        "authorized_official_first_name": "ELOISE",
        "authorized_official_middle_name": "PALMISANO RN",
        "authorized_official_title_or_position": "MGR/OWNER",
        "authorized_official_telephone_number": "518-257-2443",
        "authorized_official_credential": "NPP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03321004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "PRC200212771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eloise Palmisano RN NPP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eloise Palmisano RN NPP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.