Patrick Michael Higgins
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Katonah, NY
NPI 1972117695 · NPPES record last updated Sep 1, 2020
Key facts
- NPI
- 1972117695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F403150 (NY)
- Practice address
- 800 Cross River Rd
Katonah, NY 10536-3549 - Phone
- (914) 763-8151
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 14, 2024 through Dec 14, 2026
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F403150 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403150 | NY | Yes |
Addresses
Primary practice location
800 Cross River Rd
Katonah, NY 10536-3549
Mailing address
800 Cross River Rd
Katonah, NY 10536-3549
Phone (914) 763-8151
Other providers in Katonah, NY
- Tara Anne Hannon
- Katherine Marie Harvey
- Amy R. Hausman
- Michele Heartsong
- Mark J Hershman
- Pamela S Hoffman
- Sorrell Hooper
- Matthew P Howard
- Michelle Iannacchino
- Ruth Esther Ifill
All providers in Katonah, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.