Individual provider Active NPI

Sarah Helen Wolk, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cross River, NY
National Provider Identifier
1891101960
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401920 Issued in NY
Practice address
750 Cross River Road
Cross River, NY 10518-1145
Phone
(845) 323-6040
Fax
(845) 359-3480
NPI assigned
Jul 9, 2014
Last updated
Aug 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401920 NY Primary
Registered Nurse 163W00000X 673584 NY

Addresses

Primary practice location

750 Cross River Road
Cross River, NY 10518-1145

Mailing address

PO Box 65
Palisades, NY 10964-0065
Phone (845) 323-6040

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
I20170202000109 NY Practitioner - Nurse Practitioner 4385933936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anne M Paden N P P CGroup PAC ID 7012450026, 4 clinicians

Practice addresses (Care Compare)

11 Marshall Rd
Suite 2L
Wappingers Falls, NY 12590-4134
Phone (845) 298-4350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
673584NYMDRegistered Nurse
401920NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anne M Paden N P P C Psychiatric/Mental Health CurrentSince May 7, 2024 Accepting new patients

Locations

11 Marshall Rd
Ste 2L
Wappingers Fl, NY 12590
Phone (845) 298-4350

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1891101960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "PALISADES",
            "state": "NY",
            "postal_code": "109640065",
            "telephone_number": "845-323-6040",
            "fax_number": "845-359-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CROSS RIVER ROAD",
            "city": "CROSS RIVER",
            "state": "NY",
            "postal_code": "105181145",
            "telephone_number": "845-323-6040",
            "fax_number": "845-359-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLK",
        "first_name": "SARAH",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401920",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "673584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross River, NY

Sources for this page

Verify at the official NPI Registry.