Active NPI
Roland McManus Larkin, NP
- Psychiatric/Mental Health Nurse Practitioner
- Montrose, NY
National Provider Identifier
1922029628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400591
- Practice address
- 2094 Albany Post Rd
Building 12, Room 124
Montrose, NY 10548-1454 - Phone
- (914) 737-4400
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400591 | NY | Primary |
Addresses
Primary practice location
2094 Albany Post Rd
Building 12, Room 124
Montrose, NY 10548-1454
Mailing address
2094 Albany Post Rd
Building 13, Room 10
Montrose, NY 10548-1454
Phone (914) 737-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02136478 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F400591 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychiatry PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Port Chester, NY
- NPI 1407809346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1922029628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2094 ALBANY POST RD",
"address_2": "BUILDING 13, ROOM 10",
"city": "MONTROSE",
"state": "NY",
"postal_code": "105481454",
"telephone_number": "914-737-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2094 ALBANY POST RD",
"address_2": "BUILDING 12, ROOM 124",
"city": "MONTROSE",
"state": "NY",
"postal_code": "105481454",
"telephone_number": "914-737-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "ROLAND",
"middle_name": "MCMANUS",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02136478",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.