Amsterdam Community Care Group LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AMSTERDAM COMMUNITY CARE GROUP LLC

Practice address

612 Main St Ste 220
Stroudsburg, PA 18360-2006

Phone

(516) 610-0834

Fax

(516) 706-4257

NPI assigned

Dec 12, 2023

Last updated

Dec 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Belinda Indrani Narine, NURSE PRACTITIONER

Title

Co-Owner

Phone

(516) 610-0834

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1962270710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MAIN ST STE 220",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602006",
            "telephone_number": "516-610-0834",
            "fax_number": "516-706-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MAIN ST STE 220",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602006",
            "telephone_number": "516-610-0834",
            "fax_number": "516-706-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMSTERDAM COMMUNITY CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "NARINE",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "INDRANI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "516-610-0834",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.