Anita M Liddle, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F405632-01 Issued in NY

Practice address

2310 Nott Street East
Suite 3
Niskayuna, NY 12309

Phone

(518) 374-6263

Fax

(518) 289-5225

NPI assigned

Feb 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Union Street Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Malta, NY
  • NPI 1215129325
  NPD

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1891559878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HEMPHILL PLACE",
            "address_2": "SUITE 121",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-289-5072",
            "fax_number": "518-289-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 NOTT STREET EAST",
            "address_2": "SUITE 3",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "12309",
            "telephone_number": "518-374-6263",
            "fax_number": "518-289-5225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 New Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083409",
            "country_code": "US",
            "telephone_number": "518-549-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIDDLE",
        "first_name": "ANITA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-07-29",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405632-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dolan Lashway, FNP-BC
• Marcia Sue Lawton, LMHC
• Arthur Leder
• Nicole Lemanski, M.D.
• Carolyn Robbins Levine, M.D.
• Robin Ellen Lindenberg, LCSW
• Livinng Resources Corporation
• Mabel M.P. Cheng MD PLLC
• Ashleigh Eaton Mahoney, MS, CCC-SLP
• Alyce Teresa Malone, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Niskayuna, NY
• Providers in Niskayuna, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.