Active NPI
PM Pediatric Care - New York, P.C.
Doing business as PM Pediatrics
- Psychologist
- New Hyde Park, NY
National Provider Identifier
1912614876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- PM PEDIATRIC CARE - NEW YORK, P.C.
- Doing business as
- PM Pediatrics
- Practice address
- 1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215 - Phone
- (516) 869-0650
- Fax
- (516) 869-0650
- NPI assigned
- Nov 1, 2022
- Last updated
- Aug 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Hanly
- Title
- Director of RCM Operations
- Phone
- (516) 207-7919
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| Psychologist | 103T00000X | NU | Primary | |
| Counseling Psychologist | 103TC1900X | NU | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU | ||
| School Psychologist | 103TS0200X | NU | ||
| Behavior Analyst | 103K00000X | NU |
Addresses
Primary practice location
1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Mailing address
1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (516) 207-7851
Other names 1
- PM PEDIATRICS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1457 Northern Blvd
Manhasset, NY 11030
Phone (516) 520-5437
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1427401124
-
- Social Worker
- Manhasset, NY
- NPI 1124856562
-
- Psychiatric/Mental Health Nurse Practitioner
- Manhasset, NY
- NPI 1447444542
-
- Social Worker
- Manhasset, NY
- NPI 1407657281
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Mamaroneck, NY
- NPI 1922069855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1912614876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOLLOW LN STE 301",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421215",
"telephone_number": "516-207-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOLLOW LN STE 301",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421215",
"telephone_number": "516-869-0650",
"fax_number": "516-869-0650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PM PEDIATRIC CARE - NEW YORK, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-01",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "HANLY",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "DIRECTOR OF RCM OPERATIONS",
"authorized_official_telephone_number": "516-207-7919"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PM PEDIATRICS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PM PEDIATRICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.