Individual provider Active NPI

Kristen Elaine Parillo, MS

  • Psychiatric/Mental Health Registered Nurse
  • Saratoga Springs, NY
National Provider Identifier
1962874271
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
509504-1 Issued in NY
Practice address
188 Lake Ave
Saratoga Springs, NY 12866-2565
Phone
(518) 690-6275
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 509504 NY
Psychiatric/Mental Health Registered Nurse 163WP0808X 509504-1 NY Primary

Addresses

Primary practice location

188 Lake Ave
Saratoga Springs, NY 12866-2565

Mailing address

188 Lake Ave
Saratoga Springs, NY 12866-2565
Phone (518) 690-6275

Other identifiers 1

IdentifierTypeStateIssuer
509504-1OtherNYNEW YORK STATE OFFICE OF THE PROFESSIONS

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
509504NYMDPsychiatric/Mental Health Registered Nurse
509504-1NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga County PastSince Mar 1, 2000 Accepting new patients
Saratoga County Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1962874271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662565",
            "telephone_number": "518-690-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662565",
            "telephone_number": "518-690-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARILLO",
        "first_name": "KRISTEN",
        "middle_name": "ELAINE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "509504",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "509504-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE OFFICE OF THE PROFESSIONS",
            "identifier": "509504-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.