Individual provider Active NPI

Arlen Mark Halstead II, RN, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1861798977
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404189 Issued in NY
Practice address
329 N Salina St
Syracuse, NY 13203-1755
Phone
(315) 471-1564
NPI assigned
Feb 7, 2011
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005567 NY
Registered Nurse 163W00000X 736330 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404189 NY Primary

Addresses

Primary practice location

329 N Salina St
Syracuse, NY 13203-1755

Mailing address

329 N Salina St
Syracuse, NY 13203-1755
Phone (315) 471-1564

Other identifiers 1

IdentifierTypeStateIssuer
01420800MedicaidNY

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
I20231002001146 NY Practitioner - Nurse Practitioner 7810341427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helio Health IncGroup PAC ID 4789903147, 30 clinicians

Practice addresses (Care Compare)

329 N Salina St
Suite 200
Syracuse, NY 13203-1835
Phone (315) 471-1564

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005567NYMDMental Health Counselor
736330NYMDRegistered Nurse
404189NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helio Health, Inc. CurrentSince Aug 19, 2024 Accepting new patients
Conifer Park, Inc. Past Accepting new patients
Aurora of Central New York, Inc. Past Accepting new patients
Helio Health, Inc. PastSince Dec 9, 2019 Accepting new patients

Locations

329 N Salina St
Ste 200
Syracuse, NY 13203

555 E Genesee St
Syracuse, NY 13202
Phone (315) 476-7441

Organizations & group practices 4

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": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1861798977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031755",
            "telephone_number": "315-471-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031755",
            "telephone_number": "315-471-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "ARLEN",
        "middle_name": "MARK",
        "name_suffix": "II",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005567",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "736330",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.