Daniel Edward Breeyear, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403111 Issued in NY

Practice address

1758 Union St
Niskayuna, NY 12309-6314

Phone

(518) 932-9407

NPI assigned

May 11, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Male

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Eden Center for Integrative CareGroup PAC ID 0749634640, 7 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Eden Center for Integrative Care

  • Psychologist
  • Glens Falls, NY
  • NPI 1457027526
  Medicare reassignment Care Compare group NPD
• Shannon James Nurse Practitioner in Psychiatry P.C

  dba The Eden Center for Integrative Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Glens Falls, NY
  • NPI 1417697376
  NPD

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1922620178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FAIRVIEW ST",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034844",
            "telephone_number": "518-932-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 UNION ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123096314",
            "telephone_number": "518-932-9407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Fairview St",
            "address_purpose": "LOCATION",
            "city": "South Glens Falls",
            "state": "NY",
            "postal_code": "128034844",
            "country_code": "US",
            "telephone_number": "518-932-9407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEYEAR",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Bernard Adams, LMHC
• Michelle Lee Bisceglia, COTA
• Lakeia J. Bowman, LMHC
• Lucy Brady, LCSW-R
• Carol F Braungart, RN,MS,ACNP-C
• Gerald F Brescia, DC
• Valerie Kozinn Brooks, M.S.
• Carrin Elizabeth Brown, FNP
• Erin Buckley
• C Miller Adult Health NP PLLC

• 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 Oct 29, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.